P. O. Box 8588 Delray Beach, fl 33482



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The Rotary Club of Delray Beach offers a one year Collage Scholarship to graduating high school students.
Students are eligible in two ways. All students attending our local high school, Atlantic Community High School are eligible as well as all Delray Beach residents attending other local high schools.
The deadline for applications is April 1. Also required are the previous two yearly tax returns from the student’s parents. Only the first two pages of the 1040 Form are necessary. Social Security numbers on the tax forms may be covered to maintain privacy, Please return completed information to:
Rotary Club of Delray Beach,

P.O. Box 8588

Delray Beach, FL 33482


ROTARY SCHOLARSHIP APPLICATION

Applicant Name:_______________________ Telephone Number:___________________

Address:_____________________________ City, State Zip:_______________________
High School Attended:___________________________________________________________

Class Rank:___________________________ Number of students in your class:_________

GPA__________________ HPA:_______________________________
SAT Scores: Math _______________ Verbal ________________ Written ________________
ACT Score: ___________________________
College(s) accepted or attending: ___________________________________________________
Number of children in your family:_________ Number in College:____________________
Are there any extenuating circumstances which we should consider?

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

List all clubs/civic organizations as well as teams you have been a member. Also the year (s) your participated and list any leadership positions you held: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
List your last three jobs, with the most recent first:
Date:____________________ Employer:_______________________________________

Date:____________________ Employer:_______________________________________

Date:____________________ Employer:_______________________________________
Number of community service hours completed _____________________
Please identify your community service activities. Identify the organization you worked with and the number of hours you completed (attach separate sheet if necessary).
Organization 1:_________________________________ Number of Hours_______________

Organization 2:_________________________________ Number of Hours_______________

Organization 3:_________________________________ Number of Hours_______________

Organization 4:_________________________________ Number of Hours_______________


What was the reason you participated with those organizations:
Organization 1:_________________________________________________________________

Organization 2:_________________________________________________________________

Organization 3:_________________________________________________________________

Organization 4:_________________________________________________________________

What do you feel is your greatest asset?_____________________________________________

____________________________________________________________________________________________________________________________________________________________


What is your biggest liability?_____________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________
Why do you want this scholarship?_________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________


Why do you think you deserve this scholarship?______________________________________

_____________________________________________________________________________



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