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.

 

 

Meeting Time & Location Information Thursday at 12:15 PM Queensbury Hotel 88 Ridge Street Glens Falls, NY 12801  map it USA	Contact Information Dr. Shelle Kelz phone: 518-743-0773 fax: 518 743-0774 contact us www.glensfallsrotary.com