ROTARY CLUB OF FEASTERVILLE
Chartered November 19, 1973
ELIZABETH MOYER MEMORIAL SCHOLARSHIP
In 1980, the Rotary Club of Feasterville established the Elizabeth Moyer Memorial Scholarship Fund. Scholarships are awarded annually to graduating high school students.
Scholarship Requirements
- Must be in the top 20% of class
- Must live in Lower Southampton Twp or Trevose area of Bensalem
- Application must demonstrate Community Service
- Financial need will also be considered
Application Process
- All Applicants will be screened by trustees of Scholarship fund
- All accepted students will be interviewed
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Note: Application deadline is April 22, 2017
ELIZABETH MOYER MEMORIAL SCHOLARSHIP
Feasterville Rotary Club
APPLICATION
Directions:
Student:Please complete the application in full (including essay) and return to your counselor in time to meet the above deadline.
Counselor:Please review the application for completeness, attach a copy of the student’s high school transcript, and include any comments you wish to add concerning the student. Completed applications must be mailed to: Emily Guglielmi 524 West Pine Street Trevose, PA 19053. Applications must be received by April 22, 2017 to be considered for this award.
Date
Personal Information: (PLEASE PRINT CLEARLY)
Name
Address
Telephone
Father’s Name/Occupation
Mother’s Name/Occupation
Brothers and Sisters:
NameAgeSchool or Occupation
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Scholastic Information
High School
School I Plan to attend
Address (City & State)
Other School(s)
To Which I Was Accepted
Major/Course of Study
Length of Program
High School Activities/Leadership Positions
(List in order of significance to you, with the most significant activity listed first. If you need additional space, use reverse side or a separate sheet of paper)
Dates ParticipatedActivityRole
1.
2.
3.
4.
5.
Community Activities outside of School
Dates ParticipatedActivityRole
1.
2.
3.
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Did you have a job outside of school while in high school?
If so, please explain and include your work responsibilities.
Special Interest or Hobbies
1.
2.
3.
First Year Financial Assistance Other Than From Parents
Scholarships/Grants
Loans
Employment
Academic Information
Class Rankof
Cumulative Average
We certify that to the best of our knowledge the information contained herein is correct and complete.
Parent SignatureStudent Signature
We authorize the release of the applicant’s high school transcript to accompany this application.
Parent SignatureStudent Signature
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Essay Question
Please submit an essay projecting 15 years into the future.
Explain your accomplishments and goals
Remember: Application deadline is April 22, 2017
ELIZABETH MOYER MEMORIAL SCHOLARSHIP
Scholarship Applicant
High School Counselor’s Comments
(If you prefer, you may attach a separate letter.)
Counselor’s Signature
Thank you for preparing the student’s applications for the Elizabeth Moyer Memorial Scholarship. Remember: Application deadline is April 22, 2017
Please mail the applications for the ELIZABETH MOYER MEMORIAL SCHOLARSHIP to:
Emily Guglielmi
Scholarship Co/Chair
524 West Pine Street
Trevose, Pa 1053