High School Community Service Scholarship Application Form 2010

GLENS FALLS ROTARY CLUB
PO Box 4702
Queensbury, NY 12804
COMMUNITY SERVICE SCHOLARSHIP APPLICATION
SPRING 2010
NAME: _______________________ HIGH SCHOOL: _________________________________
Address: _____________________________________________________________________
Home Phone: _____________ Cell Phone: _____________Email Address: _________________
1. Please write a short essay describing your community service activities, and explain how your involvement or leadership role exemplifies the Rotary motto, “Service Above Self”. Feel free to write in the space below or attach a separate sheet.
2. Please tell us about your post-high school graduation plans.
OTHER REQUIRED INFORMATION
· Please provide a brief letter of support from an organization which benefited from your service, describing the impact of your involvement.
· Please ask your Guidance Counselor to confirm that you meet the minimum required “B” average on the Guidance Counselor Certification Form. DO NOT provide your high school transcript and DO NOT provide copies of your Counselor’s college Letter of Recommendation.
Note: Children and grandchildren of Rotarians are NOT eligible to apply for this scholarship.