INDUSTRY HILLS ROTARY CLUB

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Application DEADLINE: Friday, March 22, 2013.

In this set of papers you will find three (3) different applications. You may be eligible to apply for all three: both scholarships and the loan. Read these Instructions carefully! Your three opportunities are:

1. KEN & LILLIAN ROGGY SCHOLARSHIP (pages 2 & 3)

2. INTERACT CLUB SCHOLARSHIP (pages 2, 3 & 4)

3. KEN AND LILLIAN ROGGY LOAN (pages 2, 3 & 5)

The Scholarship recipient must be a graduating senior of a high school located within the boundaries of the Hacienda La Puente or Bassett Unified School Districts, must enroll in a post-secondary institution, and must take a full course load.

The criteria to be considered for awarding scholarships and loans are:

1. Demonstrated high scholarship (a minimum of a 2.5 GPA).

2. School and community activities demonstrating the Rotary concept of “SERVICE ABOVE SELF”. Active participation in an INTERACT CLUB will be given considerable weight for the Ken and Lillian Roggy Scholarship (pages 2 & 3), but is required to apply for the Interact Club Scholarship (pages 2, 3 & 4).

3. Potential for success in college.

The application/s must be filled out completely.

One (1) set of the following must be attached to the application/s:

1. A copy of the current high school transcript

2. Three letters of recommendation (One of the letters must be from a faculty member of the high school).

Applicants may be required to meet with the Rotary Scholarship Committee.

Scholarship and Loan recipients will be notified by April 15, 2013.

SEND THE COMPLETED APPLICATION/S WITH ATTACHMENTS TO:

Cartha Tennille, Ed.D.

Industry Hills Rotary Club

P.O. Box 3183

City of Industry, CA 91744

For any questions call

Cartha Tennille at (909) 859-5470.

INDUSTRY HILLS ROTARY CLUB

KEN & LILLIAN ROGGY SCHOLARSHIP

Application DEADLINE: Friday, March 22, 2013.

Complete pages 2 and 3.

Name:

Permanent address:

City, State, ZIP: Telephone:

Date of Birth: Marital Status: Birthplace:

Years in California: Are you a U.S. citizen?

School you now attend? High School GPA:

Your Senior Awards Program Information: ______________/____________/______________________

Date Time Place

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College you will be attending:

Degree goal: Major:

Expected cost per quarter/semester (circle): $ __ _ Per Year: $

Financial aid received or applied for: $ Sources:

1. Describe your educational background and career goals:

2. Explain why you believe that you should receive a scholarship:

3. List extra-curricular activities in which you have participated. Include which years and offices held:

4. List Honors or Achievement Awards received:

5. Describe what you feel is your biggest accomplishment during your high school years:

6. List places and dates of work experience:

I hereby apply for a Ken & Lillian Roggy Scholarship from the Industry Hills Rotary Club. I have read and understand the eligibility requirements and instructions and declare that all of the information provided is true and accurate to the best of my ability.

Applicant’s Signature Date

See page 1 for a list of documents to attach, and where to mail the application.

ROTARY CLUB OF INDUSTRY HILLS

INTERACT CLUB SCHOLARSHIP APPLICATION

$300.00 – Interact Seniors Only

*Only Interact Club members at Bassett, La Puente and Wilson

High Schools may apply for this scholarship.

Application DEADLINE: Friday, March 22, 2013. Complete pages 2, 3, and 4.

*School Name: ____________________ Principal’s Signature: ______________________________

Interact Club Senior’s Name: _________________________________________________________

Address, City and Zip Code: _____________________________________ ____________________

Phone: ____________________________ GPA: ___________

Post Graduation Plans: _____________________________________________________________

_________________________________________________________________________________

Essay: Using only the space below, describe the personal value you have gained through

your experiences and activities as a member of the Rotary Interact Club.

See page 1 for a list of documents to attach, and where to mail the application.

Industry Hills Rotary Club

KEN & LILLIAN ROGGY LOANS

The Loan amount may not exceed $2,000.00.

Application DEADLINE: Friday, March 22, 2013. Complete pages 2, 3, & 5.

The Loan recipient must be a graduate of a high school located within the boundaries of the Hacienda La Puente or Bassett Unified School Districts and must enroll in a California institution of higher learning like a Community College (such as Mt. SAC), a California State University (such as CSU Los Angeles or Cal Poly Pomona), or a University of California (such as UC Irvine or UC Berkeley). Any California Community College, California State University, or University of California qualifies.

Applicants may be required to meet with the Rotary Loan Committee.

Loan recipients will be notified by April 15, 2013.

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Name: ____________________________________________________________________

Current Employer (if applicable): ________________________________________________

Work Address: ______________________________________________________________

City, State, and ZIP Code: _____________________________________________________

How much to you need to borrow for one year? $____________

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See page 1 for a list of documents to attach, and where to mail the application.

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