Scholarship Application

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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.

 For questions, use our Contact Page