Hastings Sunrise Rotary
Harold Hatten Memorial Golf Scholarship 2015
Application
(Please print or type)
Date:______________________
High School Attending:_____________________
Applicant Information
Name: _______________________________
Address:_________________________________City_________State____Zip_______
Phone:______________
Social Security Number:____________________
Birth date:____________
Citizenship:____________
Parents Information
Father’s Name:_________________________ Occupation:___________________
Mother’s Name:________________________ Occupation:___________________
Address:________________________________City_________State___Zip_______
Phone:______________________
Future Information
College or School:_______________________________________
Major or Future Plans:____________________________________
Applicants Signature:____________________________________
Harold Hatten Memorial Scholarship
Questionnaire
1.
List programs and activities you have participated in during High School.
A.____________________________________________
B.____________________________________________
C.____________________________________________
D.____________________________________________
2.
What benefits did you receive by your participation in golf?
____________________________________________________
____________________________________________________
____________________________________________________
3.
Honors and awards received?
A.____________________________________________
B.____________________________________________
C.____________________________________________
D.____________________________________________
4.
List your goals for college:
____________________________________________________
____________________________________________________
____________________________________________________
5.
Why do you want this scholarship?
____________________________________________________
____________________________________________________
____________________________________________________
6.
Have you reason to expect scholarship aid from other sources? If so what?
____________________________________________________
____________________________________________________
7.
Please research and write a one page essay about Rotary’s involvement with Polio
eradication.
Harold Hatten Youth Golf Scholarship
Hastings Sunrise Rotary
1. One graduating senior male or female student per year, per school (Hastings High,
Adams Central, St. Cecilia).
a. The scholarship is a $500.00 value
2. Student must have a 3.0 GPA
3. Student must show outstanding merit, appreciation of the value of an education
and be of good moral character.
4. Student must be a member of good standing of a high school golf team
5. Applications must be legible and in English and received on or before
Date: April 15th, 2015
6. Please send application to Doug Schwenka
Hastings Sunrise Rotary
1330 Regency Drive
Hastings, NE 68901
7. Scholarship money will be payable to the college for the benefit of the recipient.
The recipient must furnish a letter of acceptance from the college before the
scholarship will be paid.
8. The application is two pages plus an essay. Please make sure all pages are
completed. If you have any questions, please feel free to contact Doug Schwenka
at 463-5298.