Racine Rotary Founders Club
[pic]
2017
DENNIS BARRY STRIVE SCHOLARSHIP
APPLICATION
Please Print:
Student Name_______________________________Phone______________________
Address___________________________________________________Zip_________
Parent (Guardian) Name__________________________________________________
Student Email: ______________________________________
Criteria:
• Academic improvement/performance through 4 years in high school
• Active involvement in school activities and community activities
• Have overcome adversity in their life
• Quality and message of one full-page, single-spaced TYPED essay on what personal obstacles you have overcome that made a positive change in your life
• One letter of recommendation from a Counselor and one from a Community Leader (i.e., Pastor, mentor, employee of non-profit organization, etc.)
In addition, the following information must be submitted:
▪ Letter of acceptance from an accredited College/University
▪ Year-to-Date high school transcript
|Grades |9th grade |GPA________ |
| |10th grade |GPA________ |
| |11th grade |GPA________ |
| | |Current Class Rank: ___________ |
This scholarship is for students who will be attending any secondary two or four year college/university in fall 2017.
Scholarship applications must be postmarked no later than March 31, 2017, and submitted to:
Victor Frasher
414 Augusta St
Racine, WI 53402
_______________________________________________________________________
Signature of Student Signature of Counselor Date
Incomplete applications will not be accepted.
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