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BEVERLY ROTARY CLUB FOUNDATION
SCHOLARSHIPS
The Beverly Rotary Club Foundation will be awarding to deserving
Beverly residents scholarships totaling approximately $25,000,
with individual awards ranging in size from $1,000 to $5,000. To be
considered, applications must be postmarked no later than April 11, 2015.
The scholarships are given to assist local students in meeting the expenses associated with
furthering their education. Scholarships are available to graduating high school seniors and
preparatory school students who will be enrolling as full-time students in a four-year or two-year
degree granting program. The following criteria will be applied in selecting scholarship
awardees:
1. Scholarships will be awarded to students whose parent(s) or legal guardian(s) reside in
Beverly, Massachusetts.
2. Academic achievement will be an important consideration in the evaluation of
candidates.
3. The financial needs of each student will be reviewed and will be an important
consideration in the choice of scholarship recipients. Therefore, all applicants are
required to submit a complete copy of the Student Aid Report (SAR) portion of the Free
Application for Federal Student Aid (FAFSA). The information to be considered will
include gross family income, debt, equity, etc. Extenuating financial considerations or
hardships should be explained.
4. The experience of the student in extra-curricular activities and in providing community
service will also be an important consideration.
5. Children of Rotarians are not eligible to receive awards.
6. Finalists for an award will be interviewed by members of the Scholarship Committee of
the Beverly Rotary Club. The interview is an essential part of the decision-making
process.
Completed applications and three (3) letters of recommendation must be postmarked or emailed
by the April 11, 2015 deadline to:
Beverly Rotary Club Foundation
c/o Elizabeth Macomber, Scholarship Chair
28 Foster Street, Beverly, MA 01915
Email: emacomber@CareDimensions.org
The Beverly Rotary Scholarship Committee will interview selected finalists on May 12, 2015
and will make the final determination of students to be awarded scholarships after the interview
and review of the candidates’ past academic activities, extra-curricular activities, demonstrated
financial need, and letters of recommendation.
BEVERLY ROTARY CLUB FOUNDATION
SCHOLARSHIP APPLICATION FORM
1. Applicant’s Name ________________________________________Birth date____________________
2. Address ________________________________________________
City ______________________ State____________Zip_____________
3. Home Phone _________________ Cell Phone ___________________ Email _______________________
4. High School(s) attended (after Grade 8)
Year of Graduation __________
_________________________________________________________
_________________________________________________________
5. To what colleges have you applied? Check if you have been accepted.
1st choice _______
_____________________________________________
2nd choice_______
_____________________________________________
3rd choice_______
_____________________________________________
6. Please state the estimated costs for the college of your choice as printed in the college catalog.
Name of College ________________________________________________________
A. Tuition ________________________
D. Books __________________________
B. Room _________________________
E. Other Fees _______________________
C. Board _________________________
** Total Cost ______________________
7. List what resources you anticipate to be available for your first year of college.
A. Family Contribution*__________________
E. Savings __________________________
B. Summer/part-time work ______________
F. Other scholarships, if known____________
C. Loans _____________
G. Other/Misc._________________________
D. Student Aid Grants ______________
**Total Resources ______________________
* If Family Contribution if different than reported on the SAR, please explain on an additional page if needed.
8. Have you applied for other financial assistance? Please specify.
____________________________________________________________________________________
____________________________________________________________________________________
9. Parent/Guardian Name ______________________________________________________________________
Place of Employment __________________________________________________________________
10. Other Parent/Guardian Name _________________________________________________________________
Place of Employment __________________________________________________________________
11. Name of
Sibling(s)
Age School Attending
Is he/she currently enrolled
in college?
If yes,what is expected
year of graduation?
12. Indicate out-of-school activities such as volunteer work and paid work experience, extra-curricular
activities, and honors received. Use attachment if necessary.
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
13. Please describe your vocational or academic goals. What achievements would you hope to accomplish?
Use attachment if necessary.
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
14. State the reasons why you think you should receive a Beverly Rotary Foundation Scholarship. Use
attachment if necessary.
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
15. Provide additional information in support of your application.
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
16. Please list three references. Indicate name, address, phone number, and relationship to the applicant.
Include a school administrator, a teacher, and one other person who has supervised you as a worker or
volunteer. Ask each to send a letter of recommendation to the Beverly Rotary Club Foundation
(see address below) to be postmarked or emailed by the April 11, 2015 deadline.
NAME
ADDRESS
PHONE #
RELATIONSHIP
17. ______ Please check if you are not the child of a current Rotarian. (NOTE: Children of members
of the Beverly Rotary Club or any other Rotary clubs are not eligible for this scholarship.)
________________________________________________ Date________________
Applicant’s Signature
OTHER REQUIRED INFORMATION
Please submit the following materials with this application:
1.
A transcript of high school courses completed at this time.
2.
Copy of the Student Aid Report (SAR) portion of the Free Application for Federal Student Aid
(FAFSA). When copying the SAR from the FAFSA web site, please click the “Print” link to
print a report showing both the Expected Family Contribution (EFC) and the application information. If
you are selected for an interview, you will be asked to submit a copy of any college financial aid award
letters you have received.
3.
Be certain that three letters of reference are included or have been sent.
4.
Materials must be postmarked or emailed by the April 11, 2015 deadline. Please mail all materials to:
Beverly Rotary Club Foundation
c/o Elizabeth Macomber, Scholarship Chair
28 Foster Street
Beverly, MA 01915
Email: emacomber@CareDimensions.org