Forms

Please highlight and print the form relative to your needs.  See each form for contact information if you need further assistance.

Available Forms:

Frank L. Klingberg Scholarship

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FRANK L. KLINGBERG SCHOLARSHIP 

ROTARY CLUB OF CARBONDALE

This scholarship awards $1,000 for the Fall 2016 semester to an SIUC student with junior status who:

  1. Has an SIUC cumulative grade point average of 3.0 or higher
  2. Demonstrates leadership in organizations on campus and/or in the community
  3. Practices the Rotary ideal of “Service Above Self” to the community, nation and world
  4. Employs ethical behavior in everyday activities
  5. Practices fairness to all concerned

 

Examples should be provided to demonstrate that the individual accepts responsibility, sets clear goals, inspires other members of his/her organization, works through teams, demonstrates service to others, and motivates others.

 

REQUIRED APPLICATION MATERIALS

 

1. Contact Information 

  1. Name
  2. Address
  3. Phone
  4. Email

 

2. List service activities, including offices held and time of involvement:

          

 

 

3. Statement of career plans and professional objectives:

 

 

 

4. Attach an official SIUC transcript, including Fall 2015 grades.

 

 

5. Attach three letters of recommendation.

   The letters should address the criteria for the scholarship listed above.

 

SUBMIT ALL APPLICATION MATERIALS TO

Rotary Club of Carbondale

Klingberg Scholarship

PO Box 3975

Carbondale, IL 62902

 

APPLICATION DEADLINE for Frank L. Klingberg Scholarship 

February 28, 2016