Apply Now | Simsbury Granby Rotary Scholarships

Combined Application Form - Rotary & Ed Dodge Scholarships

Application Form

Please fill out all required information below. * indicates required field

IMPORTANT: HAVE ALL ANSWERS, INFORMATION AND UPLOADS READY AS YOU CAN NOT SAVE PROGRESS AND NEED TO COMPLETE THIS APPLICATION IN ONE SESSION.

First name

Last name

Address

Phone

Name of High School

Name of Colleges / Universities where you have been accepted

What is your planned field of academic study and what are your career goals?

Please describe the most significant community or charitable service project that you have participated in during your high school years, including groups connected with religious organizations. Please describe the project and your role in it.

Please describe your involvement with an extra-curricular activity at your high school, your role in this activity, and why it was meaningful to you.

Have you worked for pay, either during the school year or during summer vacation? If so, please explain the job that was the most meaningful to you and why.

Have you received any academic awards or attained any scholastic achievements including honor roll? If so, please list the one that is the most important to you and explain the basis on which you won it.

Describe an important program or project that a local Rotary Club and/or Rotary International is involved in and why you feel it is important:

High School GPA

High School Transcript Copy

Resume including your community service activities

Recommendation Letter Copy

A copy of your favorite college essay you wrote

FAFSA upload

EFC from FAFSA (indicate n/a if no FAFSA)

For your first year of college, please estimate the cost for Tuition, Room, Board & Materials

Please list the occupation of all parents and/or guardians.

Please list all other children in your family, providing for each their age and whether they are in college.

How do you plan to pay for your first year of college? Please include expected contribution from family, scholarships you have been awarded, grants and loans.

Are there any special circumstances which make it especially difficult for your family to pay for your college education? Please describe them.

ESSAY REQUIRED for $12,000 ED DODGE SCHOLARSHIP (Not required for $4,000 Rotary Scholarships). Two-page max essay that demonstrates your need for financial assistance, qualifications & discusses your goals in light of Rotary’s motto Service Above Self.