BATAVIA ROTARY CLUB MEMORIAL FUND
PRESIDENTIAL SCHOLARSHIP APPLICATION
APPLICANT:
LAST FIRST (PLEASE PRINT)
ADDRESS:
STREET POST OFFICE ZIP
TELEPHONE:
DAY EVENING
HIGH SCHOOL:
SCHOOL NAME GRADUATION DATE
SCHOOL ADDRESS
NUMBER IN CLASS CLASS RANKING
SCHOOL CONTACT PERSON:
NAME PHONE
NAME OF MOTHER: OCCUPATION:
NAME OF FATHER: OCCUPATION:
NAME AND AGES OF SIBLINGS:
INSTITUTION YOU PLAN TO ATTEND
Do you anticipate receiving scholarship aid ? If so indicate sources and amounts expected.
EMPLOYMENT HISTORY:
FROM TO
FROM TO
FROM TO
APPLICANT’S STATEMENT
In about 500 words or less please attach a statement indicating your objectives and interests in further education, including any vocational plans. The Rotary Club understands that many applicants do not have a clear idea of a major at this point. Applicants who are “undecided” about their major or a career will be given equal consideration.
YOUR ACTIVITIES & ACCOMPLISHMENTS
Summarize for us your activities and accomplishments in school, church and the community, which you believe, qualifies you for this scholarship.
SCHOOL:
COMMUNITY:
FAITH:
OTHER – Hobbies - Accomplishments:
BATAVIA ROTARY CLUB MEMORIAL FUND
PRESIDENTIAL SCHOLARSHIPS
TEACHER REFERENCE FOR SCHOLARSHIP APPLICANT
(To be completed by a teacher associated with Applicant’s schoolwork and/or involvement)
To the Reference: The student named below cited you as a reference in applying for the Batavia Rotary Club Memorial Fund Presidential Scholarship. In describing this student please note that the selection criterion are based on a number of factors, with special emphasis on each individual’s character, personal merit, and background. Merit is demonstrated in a variety of ways: leadership in school; civic and other extracurricular activities; academic achievement; and motivation to serve and succeed in all endeavors.
APPLICANT’S NAME:
SCHOOL:
How long have you known the Applicant?
In what capacity have you been associated with her/him?
PLEASE INDICATE BELOW ANY SIGNIFICANT INFORMATION THAT WILL HELP THE COMMITTEE EVALUATE THIS APPLICANT IN LIGHT OF THE CRITERIA MENTIONED ABOVE.
SIGNATURE OF REFERENCE:
NAME OF PERSON WRITING THIS REFERENCE:
(TYPE OR PRINT)
Do Not Return this form to the Applicant: Please mail this form to Presidential Scholarship c/o Bill Fritts, 20 Jefferson Square, Batavia, NY 14020 or email to
BATAVIA ROTARY CLUB MEMORIAL FUND
PRESIDENTIAL SCHOLARSHIPS
OPEN TO ALL CURRENT, FULL-TIME SENIOR STUDENTS AT BATAVIA HIGH SCHOOL, NOTRE DAME HIGH SCHOOL AND GENESEE-WYOMING B.O.C.E.S. Students enrolled in any of the Academy programs at BOCES must apply through their home school of either Batavia or Notre Dame. ONE STUDENT FROM EACH INSTITUTION WILL BE SELECTED. THIS IS A $1,500 ANNUAL GRANT. STUDENTS MUST BE ENROLLED FULL-TIME AT AN ACCREDITED U.S. POST - SECONDARY INSTITUTION. STUDENTS MUST MAINTAIN A MINIMUM OF A 2.5 GRADE POINT AVERAGE OR EQUIVALENT BY THE END OF THE FINAL SEMESTER OF EACH SCHOOL YEAR. If successful for all four years this scholarship is worth $6,000 to the student.
SCHOLARSHIP CRITERIA: Based on a number of factors with emphasis on each individual’s character, personal merit and background. Merit is demonstrated in a variety of ways: leadership in school; civic and other extracurricular activities; academic achievement; and motivation to serve and succeed in all endeavors.
APPLICATION DEADLINE…….5:00 PM Monday, April 18th, 2011 at the office of Lawley Genesee Insurance & Risk Management, 20 Jefferson Square, Batavia, NY 14020 -- (Across the Hall from Tonawanda Valley Federal Credit Union)
THE COMMITTEE WILL INTERVIEW FINALISTS AT EACH SCHOOL BETWEEN 5/2 AND 5/6 AS SCHEDULES PERMIT. SCHOLARSHIP WINNERS WILL BE ANNOUNCED May 10th.
THE THREE SCHOLARSHIP WINNERS, PARENTS AND SCHOOL ADMINISTRATION REPRESENTATIVE WILL BE REQUESTED TO BE THE GUESTS OF THE ROTARY CLUB AT A REGULAR TUESDAY LUNCHEON MEETING MAY 24th.