Saratoga Rotary Thompson Scholarship Application
1. Personal
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact Information
*
GPA
*
Please list other family members in your household:
Name
Age
School or Occupation
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2
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10
2. College Information
Intended College Major
Career Goals
*
What college do you hope to attend?
3. Extracurricular Activities
School and Community Activities & Service: Please list below or attach a resume.
Description of Activity
Years Participated
Positions held/honors received
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2
3
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5
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10
4. Work Experience
Please list any part time or summer jobs you have had.
Employer
Job Title
Hours per Week
Months Employeed
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5. Financial Information
The following section is optional; however, if not completed, the information cannot help your consideration for our scholarship which does include financial need as a criterion. All information will remain confidential.
Check annual net family income:
*
$55,000 or below
$56,000 to $100,000
$101,000 to $200,000
Above $200,000
Are there any extenuating financial circumstances you would like to tell us about?
6. Upload Documents
Please upload the following required and optional documents:
School Transcripts
(Required)
Recommendation Letters
(Optional)
Resume
(Optional)
Document Upload
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of
Signature
Release Authorization and Certification of Accuracy
*
I HEREBY AUTHORIZE RELEASE OF ANY INFORMATION SHOWN ON THIS APPLICATION, TRANSCRIPTS, AND REFERENCES AS MAY BE REQUIRED BY THE SCHOLARSHIP COMMITTEE. I CERTIFY ALL INFORMATION PROVIDED HERE TO BE TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE.
Applicant Signature
*
Submit
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