Scholarships

Scholarship Application

A $15,000 USD scholarship from Rotary District 5220 for a year of study, at home or abroad, in one of Rotary’s seven Areas of Focus. Applications close Friday, Jan. 29, 2027.

Award: $15,000 USD
Deadline: Friday, Jan. 29, 2027
Takes about: 45 minutes

Step 1 of 12

Eligibility

Three quick questions before the application itself. They decide whether you are eligible for this scholarship, so please answer them first.

How did you hear about this scholarship? *

Are you a member of a Rotary Club, or have you been a member within the past 3 years? *

Rotaract members can apply.

Yes No

Has a parent or guardian been a member of a Rotary Club within the past 3 years? *

Yes No

A “Yes” answer to either Rotary membership question makes you ineligible for this scholarship. Rotaract members can apply.

Step 2 of 12

Personal information

First name *

Family name *

Citizenship *

Date of birth *

Gender

Male Female

Step 3 of 12

Contact information

Email address *

Primary telephone *

Secondary telephone

Street address or P.O. Box *

City *

Postal code *

Country *

Step 4 of 12

Language skills

List all the languages you speak, including your native language.

Language	Written proficiency	Spoken proficiency

Your native language counts — list it first.

Step 5 of 12

Emergency contact

First name *

Family name *

Relationship *

Email address

Primary telephone *

Secondary telephone

Street address or P.O. Box

City

Postal code

Country

Step 6 of 12

Prior education

List the two educational institutions you have most recently attended.

Most recently attended

Name of institution *

Degree received

Field of study

Date of degree

GPA

Include the scale, e.g. 3.8/4.0 or 85%.

Previously attended

Name of institution

Degree received

Field of study

Date of degree

GPA

Include the scale, e.g. 3.8/4.0 or 85%.

Step 7 of 12

Summary and objectives

In 2-3 short sentences, tell us your objectives for this scholarship. *

Program of study/degree sought, Rotary’s Causes, etc.

In 200 words or less, please summarize your qualifications to receive this scholarship. *

Volunteer/work/academic experience, philosophy, and perspective, etc.

200 words or less

Step 8 of 12

Rotary’s Causes

What is your Area of Focus? *

Peace and Conflict Prevention/Resolution Disease Prevention and Treatment Water and Sanitation Maternal and Child Health Basic Education and Literacy Economic and Community Development Environment

Which goals of your selected Area of Focus will your scholarship activities support? *

Refer to Rotary’s Areas of Focus Policy Statements for more information.

How will you meet these goals? *

Step 9 of 12

Scholarship information

Provide the following information about the academic program you plan to attend.

Name of institution *

City *

Language of instruction

Website

Academic program *

Academic program start date

Academic program end date

Planned departure date

Planned return date

List the classes you plan to take and provide any relevant links to information about the program. *

Explain how the program and courses align with Rotary’s goals in the selected Area of Focus and your future career plans.

How does your previous and current educational, professional, and/or volunteer experience align with Rotary’s goals in the selected Area of Focus? *

500 words or less

What are your professional and/or academic plans immediately after the scholarship period? *

500 words or less

How do your long-term professional goals align with Rotary’s goals in the selected Area of Focus? *

500 words or less

Step 10 of 12

Budget

Select the local currency for your budget and enter the current rate of exchange to 1 U.S. dollar.

Detail all of your proposed expenses by providing us with numbers beyond the stated scholarship award amount of US$15,000 to give us a complete picture of your financial need. If selected, these funds are potentially eligible for a match of US$15,000 from The Rotary Foundation, if criteria for a Global Scholar are met (only if the successful candidate will be studying internationally). Attach any documents, such as price sheets, bids or estimates, to support the expenses listed. Note: The selected candidate will work with D5220 Rotarians to develop a full budget, determine appropriate and ineligible expenses, and a payment/reimbursement plan for the scholarship funds.

Local currency *

Exchange rate to 1 USD *

#	Description	Category
1	Tuition & fees	Tuition
2	Local housing	Accommodations
3	Books & supplies	Supplies
4	Food	Supplies
5	Airfare to/from university	Travel
6	Consular/visa fees	Travel
7	Local transportation	Travel
8
9
10
	Total budget

Totals add up as you type; you can overwrite them if your own figure differs.

Step 11 of 12

Financing

Please list and describe your sources and sufficiency of additional funds that will cover the balance of your budget. *

The scholarship amount is US$15,000 from District 5220. You are personally responsible for all expenses in excess of that amount. Be sure to let us know the status and amounts you expect to receive in the form of scholarships, grants, stipends, research assistantships and teaching assistantships, as well as the expected amounts of your loans, financial aid, private funding, etc.

Step 12 of 12

Review and submit

I confirm that the information in this application is accurate and complete. *

Supporting documents

Email any documents that support your budget — price sheets, bids or estimates — to sallymotta@yahoo.com, with your name in the subject line.

Before you start

Your answers are kept in this browser as you type, so a refresh will not lose them — but they only reach the district when you submit. Have these to hand:

Your two most recent institutions, degrees, dates and GPA
The program you plan to attend: institution, city, website, dates
Your planned departure and return dates
Costs in local currency and the exchange rate to 1 USD
Emergency contact details
Four short essays — the longest are 500 words each

Who can apply

You are not eligible if you — or a parent or guardian — have been a member of a Rotary Club within the past 3 years. Rotaract members can apply.

Questions?

The district scholarship chair can help with anything on this form.

Email the chair