The Rotary Club of Cohoes awards a $1,000 scholarship annually to a graduating senior in the Cohoes community. There is no restriction as to which high school the applicant is currently attending. Please read the requirements and qualifications carefully.

The Rotary Club of Cohoes values education, dedication to academics and service to our local community and the world. A Rotarian is one who lives by the motto of “Service Above Self” and fosters the application of the ideal of service in our personal, professional and community life.

The Rotary Club of Cohoes will award the scholarship to the applicant that is judged to display the best combination of the included criteria

This application is to be completed in full. Please print or word process all the information. The application may be downloaded by going to www.rotaryclubofcohoes.org. When you have completed the application, please sign, date and return to your Guidance Counselor or the address below no later than June 1, 2022.

The Rotary Club of Cohoes
Attn: Scholarship Review Committee
P.O. Box 81
Cohoes, NY 12047

DATE OF APPLICATION:   	

NAME:   	
Last	First	MI

ADDRESS:   	
Street

City	State	ZIP

TELEPHONE NUMBER:   	

NAME OF SCHOOL:   	

Qualification 1:  The applicant must have been a resident of the City of Cohoes for the prior two years.

Qualification 2: The Applicant must be accepted to a vocational school, two or four-year college or university.  Please include your acceptance letter from one of these organizations of higher education. If you have not yet received your letter, please indicate the name of the school to which you have applied and forward the acceptance letter to The Rotary Club of Cohoes as soon as possible.

Please tell us about your major field of study (if decided):  	

1. Academic Standing: Please submit an official copy of your transcript.

2. Extracurricular Activities:

List below the extracurricular activities you have been involved with during your high school years. (You may attach an additional page if needed.)

Activity	Dates	Contact Person	Phone Number	

				

3.  Community Service:

The Applicant must submit a typed essay (minimum 500 words) with this application on the topic of “Service Above Self” with information on what contributions the applicant has made to the community to date and what plans for future contributions to the community and others in need. The essay should be in 12 pt. font and double spaced.

4. Achievements

Please list any awards, honors or achievements you have received:

ROTARY CLUB OF COHOES
2022 FRANK HINES SCHOLARSHIP APPLICATION

References:

Please provide the names of three individuals who you know personally that would be willing to provide a recommendation on your behalf.  This must include at least one individual that has supervised your community service and no more than one family member.

Name	Relationship	Address	Telephone	Email Address

					

If there is any other pertinent information you wish the Rotary Scholarship Committee to consider, please note it here.

Applicant Signature:  	Date:  	

Parent/Guardian Signature:  	Date:  	

Please be sure to include your transcript, letter of acceptance from the school of your choice and essay along with this application.

Please give the completed application package to your Guidance Counselor no later than June 1, 2022 Or you can mail it to the address below:

The Rotary Club of Cohoes
Attn: Scholarship Review Committee
P.O. Box 81
Cohoes, NY 12047