Tyngsborough/ Dunstable Rotary Club
2010 Scholarship Application

Name: Age:
Street: Gender:
Town: Grade:
Tel: School:

Community Service Programs:

#1:

#2:

References:

Name: Name:
Tel: Tel:
Relationship: Relationship:
  • On a separate sheet of paper, please provide a statement that demonstrates your good character and citizenship. (Maximum 250 words)
  • Deadline for applications is May15, 2010. Applications and written letters of recommendation must be mailed to
  • Rotary Club Scholarship
    440 Middlesex St #111
    Tyngsborough, MA 01879     by May 15, 2010  Extra Copies can be downloaded from www.tdrotary.org.
  • Multiple awards of $500 to be given.