The Rotary Club of Webster Groves Student Scholarship Application

The Rotary Club of Webster Groves Student Scholarship Application

Rotary International is the world's first service club organization. Its more than 1.2 million members volunteer their time and talent to further the Rotary motto, Service Above Self. Rotarians provide humanitarian service, encourage high ethical standards in all vocations, and help build goodwill and peace through the improvement of health, the support of education, and the alleviation of poverty. The Rotary Club of Webster Groves was chartered in 1924 and supports Rotary goals locally, regionally, nationally, and internationally.

The Rotary Club of Webster Groves annually awards scholarships. They areone-year, non-renewable scholarships (up to $1,000 each) to deserving high school seniors who are attending a college or university degree program or an accredited trade or technical institute program. Successful applicants will have demonstrated above average scholastic ability and achievement, have shown leadership qualities, andvolunteer community service involvement during their high school years. Financial need will be taken into consideration. Each recipient will be required to speak to our Rotary Club to tell us about themselves and their plans for the future.

Candidates for this scholarship must live within the boundaries of the service area of the club or attend a school within the service area. Both Affton and Webster Groves School Districts are within the approved

area. This area is bounded generally on the south by Gravois from Eddie and Park to the River Des Peres; on the east by the River Des Peres from Gravois to the Deer Creek; on the north by Deer Creek from the River Des Peres to Bremerton, Bremerton from Deer Creek to Litzinger, Litzinger from Bremerton to McKnight, McKnight from Litzinger to Old Warson, and Old Warson from McKnight to Woodlawn; and on the west by Woodlawn from Old Warson to Mariedale, Mariedale from Woodlawn to Holmes, Holmes from Mariedale to Big Bend, Big Bend from Holmes to Grant to Pardee, Pardee from Grant to Eddie and Park, and Eddie and Park from Pardee to Gravois. A map of the club’s boundaries is available through a link at the lower left of the club website at

Student Scholarship Application Requirements

THE ENTIRE APPLICATION MUST BE COMPLETED AND SUBMITTED IN THE ORDER SPECIFIED BELOW. ATTACH THIS PAGE TO THE FRONT OF THE APPLICATION WITH ALL COMPONENTS CHECKED OFF AS INCLUDED AND COMPLETED, OR APPLICATION MAY NOT BE ACCEPTED. SUBMISSION SHOULD BE SINGLE SIDED AND SUBMITTED BY SCHOOL PERSONNEL TO ENSURE THAT TRANSCRIPTS ARE OFFICIAL.

PAGE 1 – SCHOLARSHIP APPLICATION REQUIREMENTS (THIS PAGE—CHECKED OFF)

PAGE 2 – A: APPLICANT RESIDENCE AND HIGH SCHOOL

PAGE 3 – B: FAMILY AND COLLEGE

PAGE 4 – C: ACTIVITIES AND HONORS

PAGE 5 – D: STUDENT ESSAY

PAGE 6 – E: SCHOOL QUESTIONNAIRE (Attached by Principal or Counselor)

PAGE 7 – F: OFFICAL HIGH SCHOOL TRANSCRIPT (Attached by Principal or Counselor)

PAGE 8 – G: SAT AND/OR ACT SCORES (Attached by Principal or Counselor)

Completed forms are due to the following address by February 1, 2018. Candidates should coordinate with their school counselor when they need to submit their portion to their school.

William Gussner

8725 Grant’s Log Cabin Lane

St. Louis, MO 63123

WORD PROCESS (OR PRINT) ALL INFORMATION IN APPLICATION

A: APPLICANT RESIDENCE AND HIGH SCHOOL

Name: ______Last First Middle

Address:______Street City State and Zip

Phone: Home ______Cell ______

High School: ______Citizenship ☐US ☐ Other ______

Principal ______Counselor ______

Adult at school who knows you best ______Position ______

Eligibility for scholarship (check at least one). Boundaries described on cover page and map is available on club website

☐My school is within the service boundaries of the Rotary Club of Webster Groves

☐I live within the service boundaries of the Rotary Club of Webster Groves

The scholarship application is evaluated by several reviewers using a uniform scoring guide. Reviewers are looking for evidence of academic success and ability, participation in school and community activities, and volunteer community service. Your application should give evidence of these things in your responses to questions, lists of activities, student essay, transcripts, and letter of recommendation.

Successful candidates will be awarded scholarships at school awards ceremonies or other official notification through school. The Rotary Club of Webster Groves will not send individual notification of either acceptance or rejection of scholarship applications.

B: FAMILY AND COLLEGE

THE FOLLOWING INFORMATION IS FOR THE CONFIDENTIAL USE OF THE SCHOLARSHIP COMMITTEE ONLY.

Student lives with ☐ Both Parents ☐ Father☐Mother ☐ Shared Custody ☐Other ______

Father’s Name: ______☐ Living ☐ DeceasedEmployer ______

Mother’s Name: ______☐ Living ☐ DeceasedEmployer ______

Number of children in the family: ______

Number NEXT YEAR attending: College ______High School ______Grade School: ______

List colleges you would like to attend (in order of preference):

CollegeAnnual TuitionAnnual Room/BoardKnown Fin Aid

______$ ______$ ______$ ______
______$ ______$ ______$ ______
______$ ______$ ______$ ______
______$ ______$ ______$ ______

At this time, what is your intended area of study?______

Why did you choose these particular schools?

______

Describe how you plan to pay for college. Include known scholarships not listed above, your contribution, family contributions, and so on.

______

Describe any family circumstances we should consider (financial, social, family history, etc.)

______

Did your father attend college?☐Yes ☐ No

Did your mother attend college?☐Yes ☐ No

Did any grandparent attend college?☐Yes ☐ No
C: ACTIVITIES AND HONORS

Are you presently employed? ______For how long? ______Where? ______

Do you plan to be employed while at college? ______Please explain:______

How did you spend the last two summers? ______

High School Activities (athletics, student government. publications, music, drama, etc.).

You may add a sheet, if necessary. You may attach a resume to further eplain your answers below

Grade(s)--circleActivity/OrganizationOffice(s) Held—if any

9 10 11 12______

Activities Outside of School (church, YMCA, scouts, community sports, volunteer community services etc.):

9 10 11 12______

High School Honors and Awards (include brief description of award, such as academic, athletic, service)

9 10 11 12______

D: APPLICATION ESSAY

In the space below or in a separate document, discuss in 500 words or less what will most contribute to your success in college.

Applicant Signature______Date: ______

Parent or Guardian Signature _______Date: ______

E: SCHOOL QUESTIONAIRE

______is applying for a Rotary Club of Webster Groves Scholarship. Your cooperation in providing the information requested below will assist us in evaluating the applicant’s qualifications.

Grade point average: ______ACT Composite: ______

SAT Reading: ______Math: ______Writing: ______

Does the applicant accurately report School and Community Activities and Honors? ☐ Yes ☐ No

Provide any additional activities or honors you would add to the applicant’s reporting.

______

Either below or in a separate letter or document, please discuss the applicant’s academic talent, leadership, work habits, dependability, integrity, and character. Indicate why the applicant should be awarded a scholarship.

Principal/Counselor/Teacher Signature______Title: ______

High School: ______Date: ______

Attach an official transcript, including ACT or SAT scores

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