West Salem Rotary Scholarship

The West Salem Rotary will be awarding 10, $2,000 scholarships this year.  The deadline to apply is March 16th.  Copy/paste the application below into a MS Word Document, complete it, print it, and mail it to the address specified so that they receive it by the deadline:

WEST SALEM ROTARY CLUB

SCHOLARSHIP APPLICATION

 

NAME_________________________________________________________________

 

ADDRESS______________________________________________________________

 

                  _______________________________________________________________

 

Phone         ______________________________________________________________

 

BIRTHDAY _________________    YEAR__________                 G.P.A.____________

 

NAME OF PARENTS____________________________________________________

 

ADDRESS ______________________________________________________________

 

                    ______________________________________________________________

 

OTHER SIBLINGS (Names & Ages)________________________________________

 

                    ______________________________________________________________

 

PARENT OCCUPATION/S_________________________________________________

                       

                    ______________________________________________________________

 

PARENT INCOME – Under $50K______$50-75_____$75-100_____OVER $100_____

 

STUDENT SCHOOL FINANCING – From Savings______________%

                                             

                           From Parents ______________%

 

                           From Others _______________%

 

HIGH SCHOOL ATTENDED_____________________________________________

           

             

UNIVERSITY OR TRADE SCHOOL NEXT YEAR

 

                        1. __________________________________________________________

 

2. ____________________________________________________

 

WHAT IS YOUR INTENDED MAJOR_____________________________________

 

 

 

 

-2-

 

How would you describe yourself ____________________________________________

 

________________________________________________________________________

 

________________________________________________________________________

 

Would you prefer to be liked or respected by your friends and fellow students?  Why?

 

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

 

What are you most proud of in your life________________________________________?

 

________________________________________________________________________

 

________________________________________________________________________

 

 

Please prepare a one-page document covering your community activities, future plans and goals, which should be attached to this application.

 

 

            Parents or Guardian’s Signature – I certify this to be true.

 

                                                ________________________________________________

 

 

Please return to:  West Salem Rotary Club

                             C/o Gene Schlabach

                             1130 Wallace Road NW   

                              Salem, OR 97304