LOCKPORT ROTARY CLUB SCHOLARSHIPS

2018

This year the Rotary Club of Lockport is awarding two(2) scholarships to honor the memory of Lockport Rotary Club members who were dedicated to children and education:

One (1) Lockport Rotary Club 4-year,$2,000 per year Academic Scholarship

in memory of Arthur H. Showalter, Club President 1967-1968, supported with a generous gift from his family

and

One (1) Lockport Rotary Club 1- or 2-year (depending on program), $2,000 per year Vocational Scholarship

honoring Summer G. Evans, Eleanor Depeau, Samuel Seltzer, Howard Lehmann, and Donald O. Nixon

Selection Criteria:

Selection for these scholarships is based on character, scholarship, extra-curricular and community activities, leadership, poise and presence during an interview,and the desire and intention to earn a degree from an approved four-year college or university or to complete an approved two-year program of vocational education or training. Applicants MUST reside within the boundaries of the Lockport City School District.

Character:provide names, addresses, and positions of three references and attach their letters of recommendation to the application

Scholastic achievement:official high school transcript is to be attached to the application along with documentation of performance on college entranceexaminationssuch as the ACT / SAT / other

Participation and leadership in extra-curricular highschool and community activities: Enter information on application

Intention to attend an approved academic or vocational instituteof higher learning: Provide information on the application

Effectiveness in an interview with the Lockport Rotary Club Scholarship Committee(for selected applicants)

Residence in the Lockport City School District(but may be attending another regionalhigh school): Based on address information entered on the application

Financial need is not a criterion for award of Rotary Club of Lockport Scholarships. Realizing that college expenses are met through a number of resources including savings, earnings, loans, other scholarships, and support from family or friends, a viable plan to meet overall college expenses must be providedin the application. Annual reporting of satisfactory academic performance by Rotary Scholarsis a requirement to maintain multi-year scholarship awards. Scholarship recipients are expected to maintain regular communication with the Rotary Club of Lockport, P.O. Box 1199, Lockport, NY 14095 or to share results and experiences.

Scholarships are paid directly to the Institution of higher education from Lockport New York Rotary Foundation. Rotary Club communication to the Institution will advocate that this support not impact financial support already pledged by the Institution to the student.

Lockport Rotary Club Scholarship information and applications are also available on the Rotary Club website

The procedures to be followed in applying for the scholarships are as follows:

  1. Complete the application form. Please respond within the area provided on each page of the form. You and your parents or guardiansmust sign page4. Be sure to apply your name to each page of the application in the space provided.
  1. Please complete and submit pages 1 through 4. Attach only the following: (1)a small photograph of yourself;(2)your official high school transcript;(3) college entrance test scores; and (4)three letters of recommendation. Retain this information for your future reference.
  1. Return the completed forms to your school Guidance Office by 2:30 p.m., Thursday, February 15, 2018. Students attending a regional private,parochial, or vocational high school unable to deliver their application to their Guidance Office should ask their guidance counselor to contact the Lockport Rotary Club Scholarship Committee Chair before that date (2/15/18) to arrange for delivery to the Rotary Club.

Lockport High School Contact: Mr. Brian Wilson

Guidance Offices are asked to provide six (6) copies of each application and its attachments, if possible.

Application materials will be picked up at the school guidance offices on Friday, February 16, 2018.

  1. Interviews for selected applicants will be scheduled between 4:00 p.m. and 7:00 pm Thursday, March 15, 2018at the Challenger Learning Center (160 Washburn St, Lockport, NY 14094) in a conference room. Applicants are given the opportunity to suggest a preferred time (see Page 1) for their appointment. Students selected for interview will be contacted by phone to schedule the exact time of their individual appointment and will be informed of the brief interview procedure.
  1. Students selected to receive scholarships will be notified soon after the interviews. They and their parents / guardians will be invited to be our guests at a subsequent Rotary Club of Lockport weekly luncheon meeting held at Noon on Tuesdayat the 80 Main Restaurant on Main Street in downtown Lockport.

If you have any questions, please consult first with your guidance counselor. If necessary, forward questions to the Lockport Rotary Club Scholarship Committee Co-ChairDr. Ryan Schoenfeld at (716) 432-5106.

AXA Financial /
[TYPE THE SENDER COMPANY ADDRESS]

Full Name of Applicant:

FirstMiddle Last

Home Address:

#Street CityStateZip

Home Phone #: Cell Phone #:

Email Address: ______

With Whom do you live:

Father’s Name: Living or Deceased:

Father’s Employer: Occupation:

Mother’s Name: Living or Deceased:

Mother’s Employer: Occupation:

Name of Guardian if other than parent: Relationship:

Check One:

This application is for the academic scholarship (4 yr. program).Intended major or field of study

This application is for the vocational scholarship (2 yr. program).Intended field of study or training

Institution Choice : 1)2)3)

Interview scheduling: If you are selected, please indicate the time period which you would prefer for a 15-minute interview

on Thursday, March 15, 2018:4:00-5:00pm5:00-6:00pm6:00-7:00pm

Please list the names, positions, and addresses of three people (include only one teacher) who can speak authoritatively about your character, personality and ability. Attach a letter of recommendation from each individual to your application.

Name (recommendation provided): / Title or Relationship: / Organization:

Please list your participation in extra-curricular high school and community activities and indicate leadership positions in which you have served. Indicate those in which you have obtained a letter, other awards, recognition, or if you have served as an officer:

Describe any employment experience you may have had.

List any additional scholarship, honors, or special recognition you have received.

Name of applicant:

In essay form, please answer the following question(Note: Essay may be written or typed and attached as a separate document):

Why is it important to me to receive a college education or advanced vocational education and training?

Name of applicant:

My Plan to Meet Yearly Academic Expenses

Note: Please complete the tables below only to demonstrate that you have an understanding of your potential education expenditures (cost)and the revenue (resources) necessary to be financially responsible. Scholarship awards will be made based uponpersonal attributes and achievements, not financial need.

Projected Expenditures: Projected Resources:

Institution #1 / Institution #2 / Institution #3
Institution Name:
Tuition
Fees
Books
Room and Board
Recreation
Laundry
Clothes
Transportation
Miscellaneous
TOTAL / $ / $ / $
Source of Funding / Amount
From parents/guardian
From relatives or friends
Gifts
Loans
Net savings of my own
Scholarships received
Scholarships anticipated
Employment during the summer
Employment while at school
Other
TOTAL / $

We are in agreement with the plan to meet yearly academic expenses:

Student’s signature:Date:

Parent/Guardian SignatureDate:

Name of applicant:

1