Brentwood Noon Rotary Club 2019
Scholarship Application

The Brentwood Noon Rotary Club offers three (3) $10,000 scholarships and is open to eligible students attending Brentwood High School, Ravenwood High School and Overton High School. The scholarship is awarded annually in $2,500 increments. Applicant must be a high school senior, have a grade point average of B or above. Selection is based on the candidate’s financial need, performance, ACT score, writing ability and participation in activities.

To complete online and submit via email (preferable):

  1. COMPLETE (DOWNLOAD) THIS FORM on your computer by typing in the fields above the lines. Do not type information beyond the visible lines.

  2. Attach additional information in a separate Word doc.

  3. "Save as" a new file on your computer using your own name.

  4. Email the new file as an attachment to Jim Ryan: JimRyan50@gmail.com

  5. If you prefer to mail the application, please mail to:

    Jim Ryan
    Chairman Scholarship Committee PO BOX 3251
    Brentwood, TN 37024

APPLICATIONS DUE BY 5PM MARCH 11, 2019

APPLICATION

I. PERSONAL INFOMATION

DATE: ____________________________

NAME: ______________________________________________________________________ Last First Middle

HOME ADDRESS: ______________________________________________________________ Number Street City State

HOME PHONES: ______________________________________________________________  Home or Cell

DATE OF BIRTH: ________________

HIGH SCHOOL CURRENTLY ATTENDING: ____________________________________________

EMAIL: ______________________________________________________________

Graduation Date: _______________________

GPA: ______/______ CLASS RANK:______ OF___________ ACT:_________ SAT:________ (INDICATE 4.0 OR 5.0 SCALE)

PARENT’S/GUADIAN’S NAME:_____________________________________________________

COLLEGE ATTENDING:___________________________________________________________

COURSE OF STUDY OR MAJOR:____________________________________________________

II. EDUCATION INFORMATION

Please provide the Brentwood Noon Rotary Club a certified copy of your transcript, including first semester senior year grades and ACT and/or SAT scores.

III. FINANCIAL

In order to verify financial need you need to provide a copy of the Student Aid Report (SAR) that was provided to you 72 hours after submitting the FAFSA form

IV. COMMUNITY, ACADEMICS, EXTRA-CURRICULAR, EMPLOYMENT AND VOLUNTEER ACTIVITIES

A. ACADEMIC & SCHOOL RELATED ACTIVITIES (ATTACH ADDITIONAL PAGES IF NECESSARY) ORGANIZATION DATES OFFICES, HONORS, ACHIEVEMENTS

__________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________

B. COMMUNITY OR OTHER ACTIVITIES (ATTACH ADDITIONAL PAGES IF NECESSARY)

ORGANIZATION DATES OFFICES, HONORS, ACHIEVEMENTS

___________________________________________________________________________________ ___________________________________________________________________________________ ____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________

C. EMPLOYMENT HISTORY AND VOLUNTEER ACTIVITIES (ATTACH ADDITIONAL PAGES IF NECESSARY)

ORGANIZATION DATES OFFICES, HONORS, ACHIEVEMENTS

_____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________

 

V. REFERENCES

Please provide to the Brentwood Noon Rotary Club a minimum of three (3) letters of references from your teachers, church leaders, employers or others who can comment on your academics and character. If you are only providing three (3) references two (2) must be from your teachers and or guidance counselors.

VI. ESSAYS

  1. On a separate document, describe your academic strengths and challenges; your career objectives; why you want to pursue the particular career you are selecting; and your personal and professional goals. Limit your letter to 500 words maximum. (If doing offline, input must be typed)

  2. On a separate document, please answer the question, “Why is this scholarship important to you?” Limit your words to a maximum of 100. (If doing offline, input must be typed)

VII. CERTIFICATIONS

I HEREBY CERTIFY THAT THE INFORMATION PROVIDED IN THIS APPLICATION IS TRUE AND ACCURATE.

_________________________________________ Student Name

________________________________ Date

 
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