Marlborough Rotary Club P.O. Box 186  ×  Marlborough, MA 01752

Deadline:  April 30, 2009

 

Name _________________________________________  Telephone _____________________

Address  ____________________________________________________  Age _____________

Father’s Name _________________________________      Occupation ____________________

Mother’s Name ________________________________       Occupation ____________________

School from which you are graduating  ______________________________________________

Number of people in your family who attend school:

_____ K-8           _____ 9-12              _____ College              _____ Other

List colleges to which you have sent applications.  (Indicate first choice school with an asterisk.)

                                                                                    Accepted                     Not Accepted

___________________________________              ________                    ___________

___________________________________              ________                    ___________

___________________________________              ________                    ___________

___________________________________              ________                    ___________

What is your intended major?  ____________________________________________________

What is the estimated cost of your first year in college?

Tuition              $ _____________

Room               $ _____________

Board               $ _____________

Books              $ _____________

Other               $ _____________

Total               $ _____________

Rank in class ___________                             National Merit: Yes ____

SAT scores:                 Verbal _________       Math ________

 

Please include two letter of recommendation with this application.