The Club Rotario de Latino Unidos has made a scholarship(s) available on an academic need basis to graduating high school students.

Eligibility

  • The student must…

o  be a graduating high school student pursing a college degree

o  have campus and/or community involvement

o  demonstrate academic need

o  have financial need

Application Checklist

p  PART I— Scholarship Application
2 pages

p  PART II— Essay Question Response
typed, 12-point font size, and double-spaced, 1” margins

p  PART III— One Recommendation Form & Letter
from a faculty advisor, counselor, professor, teacher or any individual who can assess your academic aptitude and/or personal qualities

Mailing Instructions

p  Please mail the completed application (3 parts) to:
Tower Insurance
Attn: CRLU-Scholarship
4244 Overland Avenue
Culver City CA, 90230.

p  An incomplete application will result in ineligibility.

p  Please SIGN the application (page 2 of application) and submit all necessary documentation in one envelope as early in the application period as possible.

p  Application DEADLINE March 26th, 2010.

PART I—Scholarship Application

Please type or print legibly

Name

Last First Middle

Gender o Male o Female

Address:

Street

City State Zip

Phone ( ) Cell Phone ( ) Date of Birth_____/_____/_____

Month Day Year

Email address ______

Residency Status o United States Citizen o Permanent Resident o Other

Ethnicity or National Ancestry: (Optional)

o African American/Black o American Indian o Alaskan Native

o Multi-ethnic o Asian or Asian American o Filipina/o

o Latina/o o Mexican American/ Chicana/o o Pacific Islander

o White/ Caucasian o Other

Do you have a physical or learning disability? If yes, please state: ______

Educational History

Present High School: ______Current GPA: ______

Name of College/University you plan to attend in the Fall of 2010, or those applied to:

Financial Need

Estimated Household Income (Annual): ______Number in Household: ______

Accomplishments/Activities

Please list any recent academic honors, awards, certificates or other achievements:

If necessary, attach additional sheets.

Please list any of your recent and/or current extracurricular activities:

If necessary, attach additional sheets.

PART II—Essay Question

You MUST submit an essay with your scholarship application packet. Your essay should be typed, double-spaced with a maximum of two pages. The font should be 12-point. *Please attach essay to the scholarship application.

Essay Topics: Select ONLY ONE of the following topics:

1. Describe an academic or personal obstacle you have had to or need to overcome, in pursuit of a college degree.

2. How will obtaining a college education further your career and personal goals?

3.  Describe a person or event that has made a major impact on your life.

4.  If money did not exist, what would you do for a living and why?

5.  What do you believe is the biggest problem youth face today, and how would you change it?

PART III—Recommendation Form

Name of Student: School:

The above named candidate is applying for a scholarship with the Club Rotario de Latinos Unidos.

*The Scholarship Committee requires all candidates to submit a Recommendation Form & Letter from a counselor, professor, teacher or any individual who can assess the academic aptitude and/or personal qualities of the student.

þ  Please include any information about the candidate that you feel is pertinent.

þ  Please attach a letter of recommendation to this form.

þ  Please return this form & letter to “CRLU Scholarship Committee” 4244 Overland Avenue Culver City CA, 90230 in a sealed envelope with your signature across the seal.

þ  Return/Mail the form & letter before March 26th, 20010.

RECOMMENDATION FORM

Educator’s

Name: (please print) Title:

Educator's Signature: Date:

Institution: Phone: ( )

Email Address: ______

Please describe the qualities and any experiences that you believe make this applicant a desirable candidate for the Club Rotario de Latinos Unidos Scholarship.

Please check appropriate box.

Categories / Superior / Above Average / Average / Below Average / No Basis For Judgment
Academic Performance
Motivation
Initiative/ Independence
Self-Discipline
Strength of Character
Leadership
Creativity
Overall Potential

DEADLINE: March 26, 2010

A completed application packet must include:

1) Scholarship Application; 2) Response to Essay Question; 3) Required Signatures; & 4) Recommendation Form & Letter