The Peabody Rotary Scholarship Application

Rotary is an international charitable organization comprised of professional and business leaders whose goals are humanitarian service, high ethical standards and the promotion of goodwill and peace around the world. The motto of Rotary is “Service Above Self”. The Peabody Rotary Club has served the City of Peabody since it was officially chartered in 1920.

The Rotary Club of Peabody awards Scholarships to seniors in high school who are residents of Peabody and who exemplify the Rotary Motto of “Service above Self”.

Eligibility Requirements

Applicant must be Peabody Resident, graduating senior of an accredited public, private, parochial, and vocational or charter high school. They must be accepted to an accredited institution of higher education or vocational training program. They must be able to demonstrate that they reach out to others through community service either locally, regionally or internationally.

Application Process

The Application can be found on line at the Peabody Rotary Club web sight (www.rotarypeabody.org)

This application will also be  available through the high school guidance department.

Required:

• Applicant Information
• Parent/Guardian Information
• Answer Application Questions A, B, C and D and Community/International Service.
• Verification Letters attached to the Application.
• Official transcripts from High School
• Interview will be required for finalists.

Note:

• Incomplete applications will not be considered.
• No Applications will be considered after the due date.

Mail the completed application on or before April 15, 2010 to: Peabody Rotary Scholarship Fund, c/o Peggy Lyons; P.O. Box 94 Peabody MA 01960

Applicant Information:

Full Name: _____________________________________________________

Date of Graduation: ______________________________________________

Address: _______________________________________________________

City, State, Zip Code: ____________________________________________

Telephone: _____________________ Cell Phone: ______________________

E Mail Address: _________________________________________________

Colleges/ University accepted to: ____________________________________

______________________________________________________________

I certify that I am a resident of Peabody Massachusetts.

_______________________________________     ____________________

Signature                                                                          Date

Parent/ Guardian Information:

Name: ________________________________________________________

Address:_______________________________________________________

City, State, Zip Code: ____________________________________________

Telephone: ______________________ Cell Phone: _____________________

E Mail Address: _________________________________________________

I certify that we are residents of Peabody Massachusetts.

______________________________________      ____________________

Parent Signature                                                                  Date

Application for Peabody Rotary Scholarship:

1. List below the ways in which you have helped others through community service. This could be locally, regionally, or internationally.

2. Peabody is a city of giving back. In one paragraph, tell us about a lasting contribution you have made in your community. This could be locally, regionally, or internationally. Explain the lasting impact on the ones you served or yourself.

3. If you have been employed during your high school years please describe the type of work you did and the time devoted to it.

4. Does your school have a Community Service component as a graduation requirement? If the Answer is yes, how many hours are required?

          Explain what you did to fulfill this requirement.

Peabody Rotary Scholarship

Community Service Verification Sheet

Name of Applicant: _____________________________