Hawaii Rotary Youth Foundation Scholarship Program

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Hawaii Rotary Youth Foundation Scholarship Program
Hawaii Rotary Youth Foundation
                      Scholarship Program
Thank you for considering applying for the Hawaii Rotary Youth Foundation (HRYF)
scholarship. HRYF is a non-profit charitable corporation founded in 1976. Its main objective is to
provide scholarships for Hawaii youth to further their education after high school. Scholarship
funds are provided from Rotarians, investments, gifts, individual donors, and interest from the
Harry & Jeanette Weinberg Foundation Grant. Each participating Hawaii District 5000 Rotary
Club selects a deserving high school student to receive a scholarship.

Scholarship Awards:

For the 2020 year, each participating Rotary Club will select a student to receive a $5,000
HRYF scholarship for tuition only. From these selections made by Rotary Clubs, an HRYF
committee then selects one student attending a mainland university to receive a $10,000
Maurice J. Sullivan scholarship and another student attending a university in Hawaii to receive
the $10,000 Joanna L. Sullivan scholarship, instead of the $5,000 Club award.

The HRYF and Weinberg Scholarship programs are administered without regard to race, creed,
color, age, religion, sex, national origin or physical disability. Scholarships are non-transferable
and can only be used for the first year of school. Funds are mailed directly to the school of
choice and cannot be deferred for future use. No student can receive more than one scholarship
from the Hawaii Rotary Youth Foundation.

Eligibility criteria:

    1. Applications must be accepted by a Hawaii District 5000 participating Rotary Club by the
       due date.
    2. Applicant must be a graduating Hawaii high school senior who will be attending, as a full-
       time student, an accredited 4-year college or university in Hawaii or on the U.S. Mainland
       to earn a baccalaureate degree. A full-time student is defined as taking a minimum of
       twelve (12) credit hours per semester or equivalent.
    3. Applicant must be a U.S. citizen and a legal resident of Hawaii prior to submittal of
       application.

Ineligibility criteria:

    1.   Anyone receiving a full tuition scholarship from the school.
    2.   Anyone attending a college or university outside the United States.
    3.   Anyone entering a U.S. Military Service Academy.
    4.   Active Rotarians or their spouse, parent, children, grandchildren, step-children,
         brother or sister.
Instructions for Application:
  1. Complete, sign and save a copy of the Scholarship Application Form. This form can be
     filled out electronically and emailed or scanned to the selected Rotary Club.
  2. Attach all items listed on the checklist on the application.
  3. Get Recommendations for Scholarship forms from two individuals – one person should
     be one of your teachers or faculty member, the other should be a member of the
     community whom you have known for over 2 years (not a student). Submit the
     Recommendations with your application or have the individual send the
     Recommendation directly to the Rotary Club you indicated on the form. The
     Recommendation for Scholarship is attached as a separate file and can be emailed to
     the individuals who will be completing the Recommendation for you.
  4. Submit complete application package to only one participating Rotary Club located
     where you live or where you attend high school to sponsor your application (refer to the
     List of Rotary Club Contacts). Do not send applications to Hawaii Rotary Youth
     Foundation’s office.

Application Due Date:

     The completed Scholarship Application package, including all required enclosures,
     must be postmarked or received by a Hawaii District 5000 Rotary Club
     by February 7, 2020.

HRYF Contact Information:

     To contact the Hawaii Rotary Youth Foundation,
     Phone: 808-735-1073 (M-W-F) or Email: office@hawaiirotaryyouthfoundation.org.
List of Rotary Club Contacts
                                             Hawaii Rotary Youth Foundation - 2020 Scholarship
                  An application must be received by only ONE Rotary Club, which is located near your school or where you live.
CLUBS               NAME                       ADDRESS                  CITY & ZIP CODE      PHONE NO. EMAIL ADDRESS
HAWAII ISLAND EAST
Hilo                Mitchell Dodo                199 Wainaku Street           Hilo, HI 96720           987-3235       mitchell@dodomortuary.com
Hilo Bay            Kim Keahiolalo               69 Railroad Ave.             Hilo, HI 96720           969-3281       kim@pvthawaii.com
Pahoa Sunset        Kirk Bailey                  RR3 Box 2293                 Pahoa, HI 96778          469-879-8421   kirkbaile@gmail.com
South Hilo          Keith Marrack                1159 Hokulea Pl.             Hilo, HI 96720           895-9793       kieth.marrack@edwardjones.com
Volcano             Alida M. Gandy               PO Box 38                    HI Natl Park, HI 96718   230-1562       alida608@gmail.com
HAWAII ISLAND WEST
Kona                Peter Schonberg              75-816 Hiona St.             Holualoa, HI 96725       937-6641       PSchonberg@aol.com
Kona Mauka          Gary Rovelstad               81-1101 Akakou Pl.           Kealakekua, HI 96750     329-0318       rgrkonamauka@gmail.com
Kona Sunrise        Charles Cartwright           PO Box 2343                  Kailua-Kona, HI 96745    324-0722       bigislandinspectionservices@gmail.com
North Hawaii        Agnes Carlos                 P.O. Box 384809              Waikoloa, HI 96738       333-2545       acarlos@hawaiiwaterservice.com
KAUAI
Hanalei Bay         Joe Kalasey                  52719 Kuhio Hwy.             Kilauea, HI 96754        635-3274       jhalasey@gmail.com
Kapaa               Stan Greenbaum               PO Box 1603                  Kapaa, HI 96746          203-512-6200   sgreenbaum@uchicago.edu
Kauai               Jim Mayfield                 4473 Pahee St. #Q1           Lihue, HI 96766          652-1992       jim@islandbusinessbrokers.com
Poipu Beach         Cyrus Tumbaga                PO Box 797                   Kalaheo, HI 96741        647-0417       cyrus.tumbaga@gmail.com
West Kauai          Blaise Boyle                 PO Box 716                   Kekaha, HI 96752         212-5407       boyleb612@gmail.com
MAUI
Kahului             Joel Rand                    1300 N. Holopono St. #216    Kihei, HI 96753          283-5635       joel.s.rand@gmail.com
Kihei-Wailea        Smita Martinez               167 Popana St.               Kihei, HI 96753          707-486-8117   smita@martinez.com
Lahaina             Rick Nava                    181 Lahainaluna Rd. #A       Lahaina, HI 96761        298-3953       rick@msimaui.com
Lahaina Sunrise     Bonnie West-Baker            PO Box 1715                  Lahaina, HI 96767        205-0782       bonnie.wahine@gmail.com
Lahaina Sunset      Erica Gale                   c/o 335 Keawe St. 211        Lahaina, HI 96761        214-2263       ericaegale@gmail.com
Lanai               Elton Kinoshita              PO Box 630812                Lanai City, HI 96763     783-7998       eltonkinoshita319@yahoo.com
Maui                Heather Mueller              155 Cross Rd.                Kula, HI 96790           430-0120       heathermaymueller@yahoo.com
Upcountry Maui      Aaron Acpal                  68 Ahulua St.                Kula, HI 96790           357-8191       aacpal@asbhawaii.com
Valley Isle Sunset  Wendy Acosta                 843 Maikai Street            Makawao, HI 96768        509-599-1514   wacasta@gmail.com
Wailuku             Hugh Chare                   72 Aulii Pl.                 Makawao, HI 96768        572-3020       hugh.chare@gmail.com
EAST OAHU
Diamond Head        Kelly McDonald               2525 Date St. #3206A         Honolulu, HI 96826       480-390-5699   kellymmcdonald@outlook.com
Hawaii Kai Oahu     Judy Jakobovits              441 Anolani Street           Honolulu, HI 96821       542-0293       Judyj1968@gmail.com
Kaneohe             Barry Harris                 PO Box 17361                 Kaneohe, HI 96744        404-695-3546   bharris3@hotmail.com
Windward Oahu       Roberta Cestare              109 Aaala Rd.                Kailua, HI 96734         429-7829       cestare@me.com
Windward Sunrise    Allie Acherman               539A Kawainui St.            Kailua, HI 96734         717-253-1905   aackerman@henselphelps.com
EAST CENTRAL OAHU
East Honolulu       Kathleen Shiramizu           3626 Alohea Ave.             Honolulu, HI 96816       230-0750       kshi89@hotmail.com
Honolulu Sunset     Arjun Aryal                  500 University Ave. #1410    Honolulu, HI 96826       255-5139       aryala@gmail.com
Honolulu            c/o Martha German            705 Queen St.                Honolulu, HI 96813       922-5526       administrator@honolulurotary.com
Honolulu            Stephen Nikkola              3721 Kanaina Ave. #221       Honolulu, HI 96815       351-4107       StephenN@BetterHawaii.com
Kahala Sunrise      Jules Guerrero               820 W. Hind Dr. #127         Honolulu, HI 96821       650-799-7737   JulesGuerrero@tutoringcenter.com
Rotary E-Club HI    Joann Seery                  436 Keolu Dr.                Kailua, HI 96734         368-1412       joann@bnihawaii.com
Waikiki             Bob Tellander                2015 Ala Wai Blvd. #8c       Honolulu, HI 96815       946-9974       roberttellander5@gmail.com
CENTRAL OAHU
Ala Moana           Thomas R. Riley              663 Kaulana Pl.              Honolulu, HI 96821       282-1458       rileyono17@gmail.com
Downtown Hon.       Rodney Lee                   700 Bishop St. Suite 2001    Honolulu, HI 96813       375-5936       rodders.hi@gmail.com
Honolulu Pau Hana   Robert Cabino                1288 Kapiolani Blvd. #4009   Honolulu, HI 96814       783-8141       devinsdaddy@aol.com
Honolulu Sunrise    Wendy Shewalter              3817 Sierra Dr.              Honolulu, HI 96816       306-4467       wendy@op-hawaii.com
Metro. Hon.         Beverly Marica               835 Kainui Place             Kailua, HI 96734         271-0651       beverly.marica@gmail.com
WEST CENTRAL OAHU
Hickam Pearl Harbor Lisa Harding                 47-446 Hui Nene St.          Kaneohe, HI 96744        292-9513       lisa.liane.harding@gmail.com
Pearl Harbor        Stephen Dyer                 1322-A Moanalualani Ct.      Honolulu, HI 96819       721-2909       stephen.dyer@hawadvocate.com
Pearlridge          Eric Fujimoto                555 South St. #106           Honolulu, HI 96813       952-1241       eric.x.fujimoto@ampf.com
West Honolulu       Matthew Wong                 92-1167 Palahia Pl. #H202    Kapolei, HI 96707        218-9224       matthew.fg.wong@gmail.com
West Pearl Harbor   Richard Ito                  130 Puiwa Road               Honolulu, HI 96817       375-9982       itor004@hawaii.rr.com
WEST OAHU
Ewa Beach           Tracy Hargrave               91-1001 Makike St.           Ewa Beach, HI 96706      366.0802       iseeya@icloud.com
Kapolei             Christina Enoka              94-985 Ukuluai St. #2502     Mililani, HI 96789       227-5623       rotarycenoka@gmail.com
Kapolei Sunset      Ladonna McDonald             92-1335 Hauone St.           Kapolei, HI 96707        223-7780       ladonnamcd@hotmail.com
Mililani Sunrise    Linda Conboy                 95-1056 Kuauli St. #195      Mililani, HI 96789       206-7457       ConboyL001@hawaii.rr.com
Wahiawa-Waialua     Geoffrey Horvath             95-100 Lokihi St.            Mililani, HI 96789       346-7425       gjhorvath1@hawaiiantel.net
Wai'anae Coast      Marcelina Silvester-Thomas   87-904 Hakeakea Street       Waianae, HI 96792        386-6244       agentmarcie1@cs.com
2020 HRYF Scholarship Application Form
                        Application Due Date: February 7, 2020

Applicant Data
Submit your completed Scholarship Application package to only one (1) Rotary Club where you live or where
you attend high school to sponsor your application (refer to the List of Rotary Club Contacts). The completed
application must be received by the Rotary Club by the deadline – February 7, 2020. Applications that have
not been approved and submitted to a Hawaii District 5000 Rotary Club by the above deadline will not be
accepted. No exceptions will be made.

Please ensure that all items on the checklist accompany this completed application. Please sign and Save a
copy for your records.

This form can be filled out electronically and emailed or scanned to the selected Rotary Club.

 First Name                                         Last Name                                         M.I.

 Date of       Mo.     Day      Year                                      Last 4 digits of Soc. Security No.
 Birth                                   Male [ ]    Female [ ]
 Mailing Address       Street/PO                    City                                     Zip
                                                                                   HI
 Permanent Phone No.            Alternate Phone Number            Email Address

 High School Graduating From                                                      Graduation Date
                                                                                                      2020
 GPA                            SAT/ACT                           EFC

 List College/University you plan to attend (1st, 2nd, 3rd choice)                 "x" if accepted
 1st                                                                               [ ]
 2nd                                                                               [ ]
 3rd                                                                               [ ]

Application Checklist of REQUIRED Information:
[ ] Application is complete and signed by the applicant
[ ] Signed Letter of Recommendation by an unrelated current Faculty Member is attached.
[ ] Signed Letter of Recommendation by an unrelated Community Member who has known the
        applicant for over 2 years
[ ] Copy of High School Transcript
[ ] Copy of SAT and/or ACT scores
[ ] Copy of SAR with EFC or the complete FAFSA form (all pages) with EFC
[ ] Personal Statement
        Personal Statement should be 800 – 900 words or less, 10 point font or higher.
        Please include the following: (1) Area of study you expect to pursue and what it would mean to you and
        to Hawaii; (2) Summarize your academic achievements while in high school; (3) summarize your
        campus, community and employment activities while in high school.
Page 2
 Financial Aid Data
              Father/Legal Guardian                                                     Mother/Legal Guardian
 Name:                                                              Name:

 Home Address:                                                      Home Address:

 City, State, Zip:                                                  City, State, Zip:

 Home Phone:                                                        Home Phone:

 Employer:                                                          Employer:

 Emp. Address:                                                      Emp. Address:

 City, State, Zip:                                                  City, State, Zip:

 Emp. Phone:                                                        Emp. Phone:

 Nature of Business:                                                Nature of Business:

 Current Position:                                                  Current Position:

 Years with Employer:                                               Years with Employer:

 How many siblings living with parents/guardians:
 How many are dependents for income tax purposes
 How many siblings attending college
 How many siblings attending private school                                                Public School

I certify that:
[ ] I am a U.S. citizen and legal resident of Hawaii;
[ ] I am a graduating Hawaii high school senior
[ ] I will be attending a 4-year college or university in Hawaii or on the U.S. mainland to
         earn a baccalaureate degree with minimum of twelve (12) credit hours per semester
[ ] I will notify HRYF and the sponsoring Rotary Club if I receive full tuition from my college of choice.
         Ineligible criteria includes receiving a full tuition scholarship.
[ ] I am not an Active Rotarian of a Hawaii District 5000 Rotary Club, nor an Active D5000 Rotarian’s
         spouse, parent, brother, sister, child, stepchild, grandchild.
[ ] I am not a candidate for a U.S. Military Service Academy.

Signature:
I hereby authorize the Hawaii Rotary Youth Foundation Scholarship Committee to release information relative
to this application and related photos and/or videos for publicity purposes. I have read the criteria for
application above and verify it is true and correct. I also understand that should I be granted this scholarship, I
will attend such Rotary functions as may be deemed necessary by the President of the Hawaii Rotary Youth
Foundation or sponsoring Rotary Club.

Applicant Signature__________________________________ Date______________

This application is being submitted to the Rotary Club of _________________________

-----------------------------------------------------------------------------------------------------------------------
Note to Applicant: Fill out the portion with your name and which Rotary Club you want this Recommendation to be sent
to if sent separately. Form is fillable with MSWord. Refer to the List of Rotary Clubs in the Application Packet

                             Recommendation for Scholarship
                         From the Hawaii Rotary Youth Foundation
The applicant listed below must submit two recommendations for the Hawaii Rotary Youth Foundation Scholarship.
Please return this completed form to the applicant to send in with his/her scholarship application. If you wish to submit this
Recommendation privately, please send the completed form to the Hawaii Rotary Club that the applicant has listed below.
Complete Application must be received by February 7, 2020.

If you prefer to send a written recommendation, please use a separate page listing answers to the questions listed below.
 Name of Applicant

 First                                                    Last

 Applying to Rotary Club Listed Above                     Email of Scholarship Chair

 School/Institution

 Name of Person Making This Recommendation                Title

I am a (check one)    [ ] present faculty member              or       [ ] member of the community
that has known this applicant for more than 2 years.

1.       How well, how long, and in what capacity have you known this applicant?

2.       How firm is the applicant’s commitment to his/her proposed field of study if known.

3.       In comparison with other students who you have known at comparable age, how would you rate the
         applicant in the following areas? If you are unable to evaluate an area, please leave it blank.
                                 Excellent        Very Good        Average           Below Average
         Leadership              [   ]            [   ]            [   ]             [   ]
         Initiative              [   ]            [   ]            [   ]             [   ]
         Public Speaking         [   ]            [   ]            [   ]             [   ]
         Enthusiasm              [   ]            [   ]            [   ]             [   ]
         Adaptability            [   ]            [   ]            [   ]             [   ]
         Maturity                [   ]            [   ]            [   ]             [   ]
         Emotional Stability     [   ]            [   ]            [   ]             [   ]

4.       Please cite some specific examples of how, in your association with the applicant, he/she has
         demonstrated the above qualities.

Signed:                                                                      Date:
If emailed, print name as a signature
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