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John Royle Rotary Award page 1 Confidential Application Name: __________________________________________________Address: ________________________________________________Home Phone: ________________________Date of Birth: ________________________High School: ____________________________________________School Phone: _______________________Guidance Counselor: ______________________________________Father’s name: ______________Father’s occupation: _______________Mother’s name: _____________ Mother’s occupation: ______________Approximate annual income: Yourself: __________ Family: _____________John Royle Rotary Award Application page 2Number of other brothers /sisters living at home: __________Other dependents living at home (Grandparents etc): _______Special family circumstances: __________________________________________Intended area of study: _______________________________________________School choice in order of preference: ______________________________________________________________________________________________________Total cost per school. Tuition fees, room and board: __________________________________________________________________________________________What are your plans for summer employment? _____________________________John Royle Rotary Award Application page 3Attach a one page essay describing yourself and your goals. You can also elaborate on any of the answers on the application.Attach one letter of reference from: 1) Your school 2) Your community 3) A personal referencePlease have your Guidance Department forward an official copy of the following:Picture (any size)2) Rank in class3) GPASAT Verbal and Math5) Attendance record6) Awards and honorsVolunteer work8) Extracurricular activitiesTHIS AWARD IS BASED ON NEED AS WELL AS ABILITYApplications should be returned no later than April 30Send or deliver completed application packages to:Mr. John F. Royle64 Old Lakeside Rd. SouthHewitt, NJ 07421201-739-2772John Royle Rotary Award Application page 4Notes __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ ................
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