Rotary Club of New Bedford
Founded in 1921
Scholarship Application
(Download Here)
Open to 2021 high school graduates who are residents of New Bedford and/or graduating from a New Bedford area high school
Award amount: $1,000
Deadline: Friday, July 16, 2021
Please complete this application form in full. Late or incomplete applications will not be considered.
Name_________________________________________________________________________________
Telephone# ____________________________________________________________________________
Street Address (no PO Box) _______________________________________________________________________________
Town/City & Zip________________________________________________________________________
Date of birth: ________________ e-mail address _____________________________________________
High school you attend: __________________________________________________________________
Last 4 digits of Social Security #: ____________
Total number in class: _____________ class rank: ____________________ GPA: ____________________
College/university you will attend in 2021-2022:
______________________________________________________________________________________
(please enclose copy of college acceptance letter)
Estimated expenses:
Tuition: $__________________ room & board: $_________________ other: $______________________
Are you planning to live on-campus (yes/no/undecided)? ________________________________________
Describe community service activities that you do/have done:
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
List awards/recognitions you have received:
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
List any extra-curricular activities, sports, or other organizations/activities in which you participate:
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Do you work? _______________
If so, where? ___________________________________________________ hours per week? __________
Have you received other scholarships/grants? _________
If so, in what dollar amounts? $_____________________________________________________________
Mother’s name: _________________________________________________________________________
Mother’s place of employment: ____________________________________________________________
Mother’s annual salary: $______________________
(not less than 0; if parent is absent and does not contribute, enter "absent")
Father’s name: _________________________________________________________________________
Father’s place of employment: _____________________________________________________________
Father’s annual salary: $_______________________
(not less than 0; if parent is absent and does not contribute, enter "absent")
Number of siblings: _______ ages: _________________________________________________________
Siblings enrolled in college? ____________
Annual college expenses (siblings): $________________________________________________________
The following materials must be submitted along with the completed application.
An official high-school transcript
A letter of acceptance from the college or university (or copy thereof)
An original essay (approximately 250-300 words, typed and double-spaced); the subject of the essay is left to your discretion (this is your opportunity to tell the club about yourself; what's important to you, what your goals are, etc.)
At least two letters of recommendation (from teachers, guidance counselors, etc.)
Mail to: Rotary Club of New Bedford
Rich Medicke, Vocational Committee Chair P.O. Box 7743
New Bedford, MA 02740-7743
If you have questions or need assistance, please contact Rich Medicke at 508-965-0873 or at rich.medicke@verizon.net.
The Rotary Club is the world’s largest volunteer service organization. Rotary members are business and professional leaders who work in their communities to help promote world understanding and peace. Rotary’s 33,000 clubs in more than 200 countries and regions encourage high ethical standards and carry out humanitarian projects to address such issues as poverty, health, hunger, education, and the environment.
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