Scholarship Application
Student Name *
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Parent or Guardian Name *
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Street Address *
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Town of Residence *
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Phone *
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Email Address *
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College/University Name *
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Major/Minor Declared *
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Cumulative GPA/Class Rank in High School *
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List Volunteer Activities *
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List Extracurricular Activities *
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List Employment *
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Tell us About Yourself. Why Should You be Awarded a Scholarship? *
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For What Other Scholarships Have You Applied? *
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How Did You Hear About the Rotary Scholarships? *
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