Rotary District 6080 Global Scholarship Pre-Qualification Application Step 1 of 4 25% General Qualifications(Required)Applicants must meet all of the following eligibility requirements. Check the box next to each requirement to confirm your eligibility before continuing to the next section of the application. I have (1) previous work experience, volunteer experience and/or education; (2) intended graduate degree studies; AND (3) future career plans that are related to one of the Areas of Focus designated by Rotary International. I plan to enroll in a graduate degree program between July 1, 2024 and June 30, 2025 and expend the scholarship within 12 months of beginning my studies. My study institution is located in a geographic area that has a Rotary presence. There are 34,000 Rotary Clubs within 530 Rotary Districts around the world. I am NOT (1) a Rotarian; (2) an employee of a club, district, or any other Rotary entity, or of Rotary International; (3) the spouse, a lineal descendant (child or grandchild by blood or step-child legally adopted or not), the spouse of a lineal descendant, or an ancestor (parent or grandparent by blood) of any person who has been identified in the foregoing two categories within the past three years. I currently work in, attend school in, or am a resident of District 6080 (which spans certain municipalities and counties in Missouri, USA). I have sufficient funds to cover any expenses throughout my scholarship time that exceed $40,000 USD. I will complete an online orientation and/or attend an orientation and work with the designated sponsor to prepare for my degree program before traveling. I will endeavor to participate in a humanitarian project sponsored by the host Rotary club in my study region. Throughout my scholarship time, I will report my experiences no less than bi-weekly on an internet blog. I will complete all required reports during and after my scholarship time. Personal InformationName(Required) First Last Email(Required) Phone(Required)Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Citizenship(Required) Date of Birth(Required)Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Which of the follow most accurately describes your gender identity?(Required)If you select "Let me type..." a new field will appear below.Gender IdentityFemaleMaleNon-binaryTransgenderIntersexLet me type...Prefer not to sayGender Identity Referring Rotarian Contact Information (if applicable)If an active Rotary member referred you, please include their contact information below.Referrer Name First Last Referrer PhoneReferrer Email Referrer Rotary ClubThe Rotary Club that the referring Rotarian is a member of. Language SkillsList all languages you speak, including your native language(Required)Include written and spoken proficiency (elementary, limited working, professional working, full professional, native/bilingual) Add RemovePrior EducationList the two educational institutions you have most recently attended.Name of institution (most recent)(Required) Place of study(Required) Degree received(Required) Field of study(Required) GPA(Required)Please enter a number less than or equal to 4.0.Name of institution (previously attended)(Required) Place of study(Required) Degree received(Required) Field of study(Required) GPA(Required)Please enter a number less than or equal to 4.0. Scholarship InformationProvide the following information about the academic program you plan to attend.Name of institution(Required) Institution location(Required)City/State/Province and Country Language of instruction(Required) Institution website(Required) Title of academic program(Required) Academic program start date(Required)Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Academic program end date(Required)Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Total estimated budget (USD)(Required)Please explain how your academic program meets one or more the Rotary’s area of focus.(Required)List the relevant focus area courses you plan to take and provide any pertinent information about why you chose this institution and program.(Required)How does your educational, professional, or volunteer experience align with Rotary’s goals in the selected area of focus?(Required)What are your plans immediately after the scholarship period?(Required)How do your long-term professional goals align with Rotary’s goals in the selected area of focus?(Required)If you are pursuing other scholarships concurrently, please provide details below.Include whether or not the other scholarships are exclusiveHow did you learn about the Rotary District 6080 Global Scholarship Program? 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