2026 College Application FORM – Rotary Club of Concord New Hampshire

2026 ROTARY COLLEGE SCHOLARSHIP APPLICATION

Applicant Profile - Step 1 of 6

Please complete the online Rotary College Scholarship Application below. You may save the application and return to complete it at a later time. When you have determined that your application is thoroughly complete, please click the Submit button at the end of Step 6 of 6.

APPLICANT PROFILE

Full legal name *

Date of birth *

Gender *

Female
Male
Other

Please select your country of citizenship *

Your Personal Email *

Cell phone *

Mailing address (Your home residence/Where you live) *

Address Line 1

Address Line 2

City

State

Zip Code

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EDUCATION PROFILE

High School or College you are or were attending (Name, City, State) *

College you will attend (Name, City, State) *

High School graduation date (month & year) *

Start date (month & year) *

College year you will attend in 2026/2027 *

Fr.
Soph.
Jr.
Sr.

College graduation date (month & year) *

Please upload your most recent high school or college transcript (Only PDF and DOCX file types allowed) *

Drag & Drop Files, Choose Files to Upload

Please upload a Letter of Recommendation from a teacher, professor, counselor, employer, or program director. (Only PDF and DOCX file types allowed) *

Drag & Drop Files, Choose Files to Upload

College Essay *

I am currently a high school student and will upload my College Essay
I am currently a college student and do not have a college essay to upload

Please upload your College Essay (Only PDF and DOCX file types allowed)

Drag & Drop Files, Choose Files to Upload

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ACTIVITIES AND WORK AT SCHOOL OR AWAY FROM SCHOOL

Please list your school, club, athletic, work, or community experiences (in priority order of importance to you) to help us better understand you and your application for financial assistance:

Activity 1

Describe your participation

Participation dates

Activity 2

Describe your participation

Participation dates

Activity 3

Describe your participation

Participation dates

Activity 4

Describe your participation

Participation dates

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FAMILY PROFILE

Parent/Guardian 1 name (if applicable)

Parent/Guardian 1 occupation (if applicable)

Parent/Guardian 1 marital status

Parent/Guardian 2 name (if applicable)

Parent/Guardian 2 occupation (if applicable)

Parent/Guardian 2 marital status

Spouse's name (if applicable)

Spouse's occupation (if applicable)

Total number of family members *

Total number of family members attending college (including you) in 2026/2027 *

Describe any relevant personal and/or family circumstances and why you are applying for financial aid. *

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FINANCIAL PROFILE

TOTAL FAMILY INCOME

Your parent's taxable income from their 2024 IRS Form 1040 line 15 (enter number only) *

Your taxable income from your 2024 IRS Form 1040 line 15 (enter number only) *

Your total 2024 family taxable income *

ANNUAL EDUCATION-RELATED COSTS

Tuition and fees (enter number only) *

Room and board (if staying on campus) (enter number only)

Book costs (enter number only)

Commuter miles at approximate IRS rate (Daily round trip miles x $.67 per mile x number of days) if off-campus (enter number only)

Sum of technology, lab, health insurance, and other costs (enter number only)

Please explain your technology, lab, health insurance, and other costs

TOTAL COLLEGE COSTS *

COLLEGE FUNDING PLAN

Amount you and/or your family can pay (enter number only) *

College work-study (enter number only)

Federal grants (enter number only)

College grants (enter number only)

Loans (enter number only)

Other amount (including VA Benefits) (enter number only)

Please explain amount

TOTAL FUNDING RESOURCES *

UNFUNDED COSTS CALCULATION

Total College Costs *

Total Funding Resources *

TOTAL UNFUNDED COSTS *

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SIGNATURE(S) AND SUBMIT APPLICATION

How did you hear about the Concord Rotary Club's Scholarship Program? *

Let us know if you heard about Concord Rotary's College Scholarship from a parent, grandparent, friend, school email, guidance counselor, coach, newspaper, social media, and/or other sources.

SIGNATURE FIELDS BELOW: Please use your mouse (if on a desktop/laptop) or your finger (if on a phone or tablet) to write your name in the field below. Keyboard entries are not accepted.

Applicant signature *

Clear Signature

Date *

Parent, Guardian or Spouse signature if under 18

Clear Signature

Date

You may save the application and return to complete it at a later time. When you have determined that your application is thoroughly complete, please click the Submit button.

After submitting your application, you will receive an email confirmation that displays all your application entries. Please save and/or print that email for your records.

Save and Resume Application Later

Saving your progress now will store a copy of your entry on this server. For security reasons, file uploads will have to be re-entered when you resume.

Please click the Continue button to view and copy a link to use when you resume filling out your application or to receive the resume link via email.

Go Back

Your entries to the Rotary College Scholarship Application have been saved and a unique link has been created which you can access to resume this form.

Enter your email address to receive the link via email. Alternately, you can copy and save the link below.

Please note, this link should not be shared and will expire in 30 days, afterwards your form entries will be deleted.

Copy Link

Email *