Glens Falls Rotary - Box 4702, Queensbury, NY 12804



Club President
James Goodspeed
James Goodspeed
Rotary International
District 7190

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Rotary Scholarship 2014 Application Form

GLENS FALLS ROTARY CLUB

PO Box 4702

Queensbury, NY 12804

Community Service Scholarship Application

Spring 2014

 

 

NAME:   __________________________________________  HIGH SCHOOL _______________________

 

Address: _____________________________________________________________________________

 

Home Phone #: __________________  Cell Phone #: __________________ E-mail __________________

 

This completed application (typed in Word or other word processing software), and the additional documentation described at the bottom of this form, must be e-mailed by March 15, 2014.

 

 

ESSAY questions: 

  • 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 attach a separate sheet, or you may write in the space below:

 

 

 

 

 

 

 

 

  • Please tell us about your post- high school graduation plans.

 

 

 

 

 

The following additional documentation must also be submitted by the deadline:

  1. 1.        A brief letter of support from the leader of an organization which benefited from your service, describing the impact of your involvement.  This should be sent under separate cover directly to David Kisselback, Chairman of Rotary’s Scholarship Committee (see contact information below).
  2. 2.       The Guidance Counselor Certification Form signed by your Guidance Counselor confirming that you meet the minimum required “B” average.  Please DO NOT provide your high school transcript and DO NOT provide copies of your Counselor’s college Letter of Recommendation.

 

Please forward this completed application and required additional documentation (via e-mail) to: David Kisselback at dkisselback@silverbay.org  Please email any questions to the same address.  Thank you.

 

 

 

 

  

Meeting Time & Location Information
Thursday at 12:15 PM
The Ramada Inn
1 Abbey Lane
Queensbury, NY 12804  map it
USA
Contact Information
David Bogue
phone: 518-321-9922
fax: 518 409-8436
contact us
www.glensfallsrotary.org

**The Club also meets at 7:30 AM for breakfast every 1st and 3rd Tuesdays each month at the Ramada Inn, Exit 19, Rt. 87, ADK Northway. For info call 855-499-0001.

 



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