Rotary Club of Tacoma #8
High School Scholarship Program
Form A: Applicant Information Sheet
PLEASE TYPE OR PRINT CLEARLY
Applicant’s Name:
______
(Last)(First)(M I)
Permanent Address:______
______
CityStateZip Code
Date of Birth:______Male______Female______
(Month-Day-Year)
Home Telephone:______Cell phone: ______
Email address:______
High School:______
Counselor’s Name:______
HS Telephone #:______
High School GPA:______
I rank number ______in my senior class of ______students.
I verify that the information contained in this application is true to the best of my knowledge.
Student SignatureCounselor Signature
Application Deadline –
Must be postmarked by March 4, 2016
Rotary Club of Tacoma #8
High School Scholarship Program
Form B: Financial Need Information Sheet
Applicant’s Name:______
(Last)(First)(MI)
My first choice: ______
(Name of college or technical school)
______
(City)(State)
I have ______have not ______been accepted by this institution.
My second choice: ______
(Name of college or technical school)
______
(City)(State)
I have ______have not ______been accepted by this institution.
I have submitted my FAFSA paperwork. Yes______No______
What are the estimated costs of your college or technical school or university?
Types of CostsFull Year’s Cost (1st Choice)
Tuition$______
Room & Board$______
Books$______
Other Expenses$______
Total Costs:$______
Types of CostsFull Year’s Cost (2nd Choice)
Tuition$______
Room & Board$______
Books$______
Other Expenses$______
Total Costs:$______
What anticipated assistance do you have to meet these college or technical school costs?
(We ask this question to get an idea of what measures you have taken to secure finances to attend the schools of your choice. We understand that you do not know for sure what financial assistance you have confirmed, please do your best to estimate)
CommittedPending
From parent(s), guardian(s), or relatives:$______$______
From my own savings:$______$______
From my summer employment:$______$______
From my work during the school year:$______$______
From loans to be paid back:$______$______
From grants, scholarships, awards, etc.:$______$______
Other:$______$______
Total income to meet college or technical school costs:$______
If no help from your parent(s), please give reason: ______
______
______
I verify that the information contained in this application is true to the best of my knowledge.
Student SignatureCounselor Signature
Rotary Club of Tacoma #8
High School Scholarship Program
Form C: Questionnaire
What activities have you been involved at high school?
What community activities have you participated in (outside of high school) during the past 4 years?
Why have you decided to attend college or technical school, and why have you selected your chosen school?
What have you done financially to prepare for the costs of college or technical school?
What do you know about the work of Rotary in Tacoma?
What would receiving a Tacoma Rotary 8 scholarship mean to you?
Rotary Club of Tacoma #8
High School Scholarship Program
Application checklist
Form A: Application
Form B: Financial Need Information
Form C: Questionnaire
Unofficial Transcript
Please return the information to:
ATTN: SCHOLARSHIP APPLICATION
The Rotary Club of Tacoma #8
PO Box 1777
Tacoma, WA98401
Application Deadline – Must be postmarked by March 4, 2016. We will not accept applications after this date.