$30K master’s global scholarships

$30K master’s-level, global scholarships through The Rotary Foundation (below, for your convenience); get started now:  1-847-866-3000 &/or visit www.Rotary.org/en/grants    

A few more details:

  •  To apply for The Rotary Foundation’s $30K masters-level global scholarshipswww.Rotary.org/en/grants & 1-847-866-3000Connect with The Rotary Foundation staff who work exclusively with TRF Global Grant Scholarships.  TRF staff can guide you about how to connect with Rotary districts worldwide that are actively participating with Rotary Global Grant Scholarships.  Participating Rotary districts are your potential $ource$ of funding:  for your convenience … scholarship application for the Austin-area Rotary district—so that you may see the basic Rotary Foundation requirements & the particulars of one Rotary district).

Details:

Rotary District 5870  2013-2014 Rotary Global Grant Scholarship Application    District 5870 Rotary Global Grant Scholarships in the amount of $30,000 will be awarded to fund post-baccalaureate study at an accredited university located outside the United States and its territories in a country where Rotary has a presence so that a Rotary host club can be arranged. These scholarships can be used for fund studies over a period of one-to-four years thereby enabling you to fund an entire degree program if applicable.   Applicants’ planned studies must in a discipline that aligns with one or more of Rotary’s six Areas of Focus.     Global Grant Scholarships follow a two-step application process: a proposal followed within six months by an application.

 At the time of the proposal, the applicant must know where he or she wants to study.

 At the time of the application, the candidate must be admitted to his or her study program.

Note: Scholars are required to gain their own admission to the college or university they want to attend.

 A proposal must be accepted by The Rotary Foundation before a grant application can be submitted.  Since the proposal process will start immediately after completion of the district

interviews, all applicants must know the college or university they want to attend by the time of the district interview.   A humanitarian service project will be required if your approved educational expenses

(room, board, tuition, travel to/from your college or university at the beginning of your study and at the end of it, required immunizations, medical insurance and reasonable living expenses) are less than $30,000. Applicants will be expected to provide an outline of the project and its anticipated budget during his or her district interview.   Scholarship candidates must appear in person at the district interviews. If, for any reason, the Scholarship candidate is unable to be interviewed in person on the day of the interviews, he or she will not be eligible to receive a scholarship.     As of the date this handbook was published, these interviews are scheduled to take place on February 2, 2013.     Rotary Clubs interested in sponsoring a District Vocational Scholarship applicant are highly urged to read the 2013-14 Global Grant Scholarship Handbook for a complete understanding of the qualifications and requirements.

Applicants must submit this application and all supplementary sheets completed in full to a Rotary club in District 5870. All required documents (see Section 2) must reach the District Rotary Scholarship Chair no later than December 31, 2012.         

SECTION 1 – APPLICANT INFORMATION  

a. Contact Information   Family Name First Name:    Gender: Male Female   Permanent Address:   Country of Citizenship:    Primary Phone: Secondary Phone:    E-Mail Address:   Places (with dates) that applicant has lived during the past 5 years:   Dates: Places:

b. Languages and Education   List the languages you speak (including native language) and your proficiency level.   Language Proficiency   List the two educational institutions you have attended most recently.    Name of Educational Institution Major Degree Earned or Expected Date From Date To

c. Employment/Volunteerism History   List most recent first.    Employer/Volunteer Organization Title or Type of Work Date From Date To

d. Previous Experience Abroad   List all countries in which you have previously lived or studied.     Country Circumstances Date From Date To

e. Proposed Academic Program Details    Name of Institution:   Location (city and country):    Institution’s Web Site:    Academic Program:   Official Language(s):    Anticipated Start Date:   Anticipated End Date:

f. Areas of Focus and Goals   With which of Rotary’s Areas of Focus does your proposed program of study align?

Peace and conflict prevention/resolution   Scholars in this area are expected to study ways to prevent and mediate conflict, and to support peace-building in communities and regions affected by conflict.

Preferred academic programs include conflict prevention/resolution, peace and justice studies, and international relations or law with a specialization in peace and conflict;

a. Programs that will be considered favorably include those that focus directly on peace and conflict issues;

b. Programs that will not be considered favorably include those that relate to general international relations or law.

 

Maternal and child health   Scholars in this area are expected to study ways to improve the health of mothers and their children by:

a. Reducing the mortality and morbidity rate for children under the age of five;

b. Reducing the maternal mortality and morbidity rate;

c. Improving access to essential medical services, trained community health leaders and health care providers for mothers and their children.    Preferred academic programs include epidemiology, nutrition, global health, public health, and health promotion and degrees in nursing and medicine.

 

Disease prevention and treatment Scholars in this area are expected to study ways to prevent disease and promote health by:

a. Improving the capacity of local health care professionals;

b. Promoting disease prevention programs, with the goal of limiting the spread of communicable diseases and reducing the incidences of and complications from non-communicable diseases;

c. Enhancing the health infrastructure of local communities;

d. Educating and mobilizing communities to help prevent the spread of major diseases;

e. Preventing physical disability resulting from disease or injury.

Preferred academic programs include public health, advanced degrees in nursing and medicine.

 

Basic education and literacy  Scholars in this area are expected to study ways to ensure that all people have sustainable access to basic education and literacy by:

a. Involving the community to support programs that strengthen the capacity of communities to provide basic education and literacy to all;

b. Increasing adult literacy in communities;

c. Working to reduce gender disparity in education.

Preferred academic programs include education, literacy, curriculum development, special education, and school administration.

 

Water and sanitation Scholars in this area are expected to study ways to ensure that people have sustainable access to water and sanitation by:

a. Providing equitable community access to safe water, improved sanitation and hygiene;

b. Strengthening the ability of communities to develop, fund and maintain sustainable water and sanitation systems;

c. Supporting programs that enhance communities’ awareness of the benefits of safe water, sanitation and hygiene.

Preferred academic programs include water science/engineering, water management, environmental science, epidemiology, and parasitology.

 

Economic and community development  Scholars in this area are expected to study ways to invest in people by creating sustainable, measurable and long term economic improvements in their

communities and livelihoods by:

a. Building the capacity of entrepreneurs, community leaders, local organizations, and community networks to support economic development in impoverished

communities;

b. Developing opportunities for productive work;

c. Reducing poverty in underserved communities.

Preferred academic programs include social science degrees with a specific focus on economic and community development, and business degrees tailored for social

business or microcredit.

a. Programs that will be favorably considered include those that

(1) Focus on grass-roots economic development strategies;

(2) Focus on addressing economic issues of poor and underserved communities;

(3) Support social business development, such as a tailored track within a Masters of Business Administration program;

(4) Include “community development” in the name of the program or tailored track.

b. Programs that will not be favorably considered include those that

(1) Focus on purely theoretical or macro-level economics;

(2) Support general private business development, such as a masters of business administration;

(3) Connect in a general way to the field of community development but do not include “community development” in the name of the program or

tailored track.   Careers that will be considered favorably include those that either (1) focus on improving the economic well-being of poor and underserved communities, or (2) are

in a non-profit or social enterprise environment.   Careers that will not be considered favorably include those that focus on general business activities in a private or corporate environment.

Explain how your program of study relates to your selected Area(s) of Focus.   Provide a description of the program coursework, such as a list of the classes you plan

to attend, and any relevant links to further information about the program on the website.   What past education or experience has led to your interest in this particular program at

this institution?

g. Sustainability and Measurability   Describe your educational and professional goals, including your career plans, and how your chosen program of study will help to advance these goals.   What community needs will your work address during or after completing this program?   How will your work contribute to addressing this need on a long-term basis?   Explain how you have already participated in an activity or organization intended to promote good or improve human quality of life.

a. Do not simply list organizations of which you have been a part.

b. Instead, specifically describe your role in ensuring the community was profoundly impacted through your efforts.

c. Specify work done related to your proposed discipline of study.

 

SECTION 2 – REQUIRED DOCUMENTS

a. ROTARY CLUB ENDORSEMENT: Form is attached. This must accompany the application.

b. RECOMMENDATION FORMS (2): Forms are attached. After completion, request the Endorser send the form to the District 5870 Scholarships Chair at the address

provided below.

c. LANGUAGE PROFICIENCY FORM: Form is attached. After completion, either submit it along with your application, or send it to the District 5870 Scholarship Chair at

the address provided below. Note: This form is required only if the language in study country is different than your native language.

d. TRANSCRIPTS: Please provide all official transcripts that apply to your attendance at the two institutions you listed in Section 1 above. Either attach them along with your

application, or send it to the District 5870 Scholarship Chair at the address provided below

e. OPTIONAL: If you are comfortable doing so, please attach a recent photograph; it will be helpful for recognition purposes at the interviews.

* District 5870 Scholarships Committee Chair:  Judy Duer  1908 E. 18th St.  Georgetown, TX 78626   jduer@templetx.gov    512-869-6604 (home)  254-298-5707 (work)

NOTE:   The District 5870 Scholarships Committee Chair must receive your application and all required documents no later than December 31, 2012, in either electronic or hard copy.

Incomplete applications and applications received after this date will not be considered.   9

SECTION 3 – APPLICANT’S CERTIFICATION  I hereby apply for a Rotary Foundation Global Grant Scholarship from Rotary District 5870.

1. I certify that I am eligible to apply, understanding that persons in the following categories are ineligible:     a. A Rotarian or Honorary Rotarian;   b. An employee of a Rotary club or district, of Rotary International, or of another   Rotary-affiliated entity;  c. A spouse, a lineal descendant (child or grandchild by blood or adoption), a spouse of a lineal descendant, or an ancestor (parent or grandparent by blood) of any living person in the foregoing two categories; and d. That Rotarians and their relatives as described above remain ineligible for 36 months after resignation.

2. Prior to the district scholarship interviews which are currently scheduled for February 2, 2013, I understand that I am required to:

a. Identify the college or university that I want to attend.

b. Demonstrate that I am proficient in the language of the country this college or university is located by successfully completing a Berlitz Proficiency Interview in that language. I understand and agree that the cost of this interview is not a reimbursable expense.

c. Work with my sponsoring Rotary Club to complete the my estimated budget expenses as outlined in Section 6 of the 2013-14 Global Grant VocationalScholarship Handbook.

d. Develop an outline of my humanitarian service project (if required) and its anticipated budget as outlined in Section 3 of the 2013-14 Global Grant Vocational Scholarship Handbook, and be prepared to discuss the project at the district scholarship interviews.

3.  I understand and agree that:

a. I am solely responsible for gaining admission to the college or university that I want to attend, and for obtaining required visa(s), passports, making

appropriate travel arrangements, required immunizations, medical insurance, and completing all pre-departure travel requirements.

b. I must gain admission to the college or university that I want to attend before my Scholarship Application can be submitted to the Rotary Foundation.

4. If I receive a Rotary Foundation Global Grant Scholarship, I understand and agree:

a. The academic program I am undertaking must be no shorter than one academic year in duration, nor longer than four years.

b. That the program of study must be for post-baccalaureate work only in one or more of the six Areas of Focus established by The Rotary Foundation.

c. To abide by any decisions made by Rotary District 5870 and/or my sponsoring Rotary Club concerning my scholarship.

d. That as noted in paragraph 2c above, I may be required to complete the humanitarian service project during my period of study. I further understand that:

a. The project must be:

(1) Conducted in the Rotary District of my international host Rotary Club.

(2) In the same Area(s) of Focus as my academic studies.

(3) Executed during the scholarship period.

b. I will be expected to adhere to the Terms and Conditions for Rotary Foundation Global Grants as outlined in Section 9 of the 2013-14 Global

Grant Scholarship Handbook.

e. That my scholarship studies can begin no earlier than 90 days after my Rotary Foundation Global Grant Scholarship is approved by The Rotary Foundation, and

that I will not receive reimbursement for any expenses incurred prior to this date except for the items listed in paragraph 3 above.

f. That I must obtain the following minimum insurance coverage:

(1) $250,000 or equivalent for medical care and hospitalization for basic major medical expenses, including accident and illness expense,    hospitalization, and related benefits.    (2) $50,000 or equivalent for emergency evacuation.    (3) $20,000 or equivalent for repatriation of remains

g. That the scholarship funding is $30,000. Scholarship funding is for only those items contained in the approved budget and can only be used for:

(1) My studies (tuition, books, lab fees, other classroom and/or school fees, travel to and from my county of study at the commencement and end of my scholarship, and reasonable living expenses)

(2) Completion of my humanitarian service project.

h. That I will need to seek alternate sources of funding if my costs exceed $30,000.

i. That Rotary International, The Rotary Foundation, Rotary District 5870 and my sponsoring Rotary Club assume no responsibility or financial obligation whatsoever beyond providing the amount of the funding contained in the approved budget.

j. That I am expected to learn about Rotary International and fulfill the following ambassadorial responsibilities:

(1) Attend any orientation programs organized by District 5870 and/or other districts, or by my sponsoring Rotary Club.

(2) Before departure, attend meetings of my sponsoring Rotary club and Rotary events in our district as invited, and present at least one talk to a

Rotary group.

(3) Make myself available for, and encourage, media interviews at home and abroad.

(4) Maintain academic studies with distinction, giving equal importance to the academic and ambassadorial aspects of my scholarship.

(5) Be actively involved with Rotary in my international host district, making at least 10 to 15 presentations to Rotary and non-Rotary audiences, and submit required reports to Rotary District 5870 describing my academic progress activities.

(6) Present at least 8 talks to Rotary and non-Rotary audiences within the first year after my return home.

(7) Maintain communication with my sponsor and host Rotary Club before during, and after my study period.

(8) Offer to share my ambassadorial experiences at Rotary clubs or district meetings, and participate in Rotary Foundation alumni activities.

(9) Register contact information with Alumni Relations at the Rotary Foundation, keeping my address, telephone number and e-mail address

updated at all times.

k. That I must live in the immediate vicinity of my approved study institution and in my international host district, so that I can participate in the Rotary club and district activities of the host district.

l. That I am responsible for all costs associated with my spouse or dependents who may accompany me during my scholarship period, and that I will not live with a companion or partner to whom I am not married during my scholarship.

m. That I am expected to embrace Rotary’s spirit of volunteerism and engage in volunteer activities from the time of the scholarship application, through the term of the scholarship, and to a post-term commitment in my local community.

n. My scholarship does not guarantee that I will earn a degree, diploma, or certificate.

o. That I must advise Rotary District 5870 of any other stipend or grant received during my scholarship year.

p. To help promote Rotary International wherever possible and to permit The Rotary Foundation, Rotary International, Rotary District 5870, and/or my sponsoring

Rotary Club to use my name and all photographs and written reports generated through any of my activities related to my scholarship.

q. That my scholarship may be revoked for any of the following reasons:

(1) Failure to maintain a good academic standing pursuant my college’s or university’s standards throughout the scholarship period;   (2) Evidence of misconduct;   (3) Failure to submit required reports on time;   (4) Change in study program without the consent of Rotary District 5870;   (5) Withdrawal from institution before expiration of the scholarship term;   (6) Failure to adequately fulfill ambassadorial duties;

(7) Failure to attend an outbound orientation seminar as required;    (8) Failure to follow the directions of my sponsoring Rotary Club;   (9) Failure to provide my sponsoring Rotary Club with my current information including mailing address, telephone numbers, and e-mail address at all times;   (10) Failure to maintain monthly communications with my sponsoring Rotary Club;   (11) A contingency that prevents me from fulfilling all the obligations of the scholarship.   r. That revocation of my scholarship shall cause all payments to cease and may make me personally liable for the return of payments previously provided.   s. That Rotary International, The Rotary Foundation, Rotary District 5870, the study institution, and individual Rotary clubs and Rotarians are in no way liable for my personal welfare or responsible for enabling me to pursue studies beyond the scholarship period.   t. Rotary International, The Rotary Foundation and Rotary District 5870 assume no responsibility or obligation whatsoever beyond providing the amount of the scholarship.     Name of Applicant (please print) Signature

SECTION 4 – ROTARY CLUB ENDORSEMENT    The Rotary Club of City State ZIP     after consideration of applicants, proposes (number)    Name of Applicant (please print)    for a Rotary Foundation Global Grant Scholarship and forwards this application to the District 5870 Grants Committee Chair as instructed.   The Rotary Club selection committee did did not interview this candidate.      Each recipient of a Rotary Foundation Global Grant Scholarship must be assigned a Rotarian   Sponsor Counselor. The Sponsor Counselor will be a knowledgeable Rotarian who serves as a resource and mentor to the scholar before, during, and after the scholarship period.   The club president has appointed the following Rotarian as our Sponsor Counselor, should the applicant receive a scholarship:   Name of Sponsor Counselor   Street Address   City State ZIP   Home Telephone Business Telephone   Fax E-Mail Address     I hereby affirm that the Rotarian appointed as Scholar Counselor has been Grant   Management Certified by District 5870.    Name of Club President (please print)    Signature of Club President Date    Home Telephone Business Telephone    Fax E-Mail Address    Please retained a complete photocopy of this application for your club records before forwarding the application to the District Grants Committee.

ACADEMIC/EMPLOYER RECOMMENDATION  

SECTION I —To be completed by the applicant.    Name of Applicant    I waive do not waive my right to access information on Part II of this Recommendation Form.    Signature of Applicant

SECTION II —To be completed by an academic instructor or employer/supervisor.

1. In what capacity and how long have you known the applicant?

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

3. In what way would study abroad contribute to the applicant’s academic or professional development?

15     4. 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    Seriousness of purpose    Enthusiasm    Adaptability    Maturity    Emotional stability    Public speaking    Community service

5. Please cite specific examples of how the applicant has demonstrated the qualities listed in question 4.

6. Tell us about any first-hand knowledge that you have of the applicant’s voluntary service to his or her community and/or provide additional comments.

Name Title or Position   Signature Date   Institution/Company   Telephone Fax E-Mail Address

Please return completed evaluation to:   Judy Duer:  District 5870 Scholarships Committee Chair  1908 E. 18th St.   Georgetown, TX 78626   jduer@templetx.gov<mailto:jduer@templetx.gov>   512-869-6604 (home) 254-298-5707 (work)

ACADEMIC/EMPLOYER RECOMMENDATION   SECTION I —To be completed by the applicant.    Name of Applicant   I waive do not waive my right to access information on Part II of this Recommendation Form.    Signature of Applicant    SECTION II —To be completed by an academic instructor or employer/supervisor.  

1. In what capacity and how long have you known the applicant?

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

3. In what way would study abroad contribute to the applicant’s academic or professional development?

4. 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   Seriousness of purpose   Enthusiasm   Adaptability   Maturity    Emotional stability    Public speaking    Community service

5. Please cite specific examples of how the applicant has demonstrated the qualities listed in question 4.

6. Tell us about any first-hand knowledge that you have of the applicant’s voluntary service to his or her community and/or provide additional comments.

Name Title or Position   Signature Date   Institution/Company   Telephone Fax E-Mail Address      Please return completed evaluation to:    Judy Duer:    District 5870 Scholarships Committee Chair   1908 E. 18th St.  Georgetown, TX 78626   jduer@templetx.gov  512-869-6604 (home) 254-298-5707 (work)

 

LANGUAGE ABILITY FORM   SECTION I —To be completed by the applicant. (Please type.)  Complete this form only if you intend to study in a country where the native language is

different from your own.    Name of Applicant   I waive do not waive my right to access information on Part II of this Language Ability Form.   Signature of Applicant

1. For what language is this form being completed?

2. Summarize the formal education and training you have had in this language.

3. Summarize the informal training or experience you have had using this language.

4. If granted a scholarship in a country where this language is used, what additional language training will you undertake before departure?

SECTION II —To be completed by a language instructor. (Please type.)  

1. In what capacity and how long have you known the applicant?

2. My evaluation is based on Previous class or tutoring Other (please specify)

3. Rate the applicant’s present language ability as follows:  Superior Good Fair Rudimentary  Reading   Writing   Comprehension (aural)   Speaking

4. Please comment on the applicant’s ability to carry out a program of study using this language. If the applicant’s command of the language is not adequate, what training would

you recommend?     Name Title or Position   Signature Date   Institution    Telephone Fax E-Mail Address

 

Please return completed evaluation to:   Judy Duer:   District 5870 Scholarships Committee Chair   1908 E. 18th St.   Georgetown, TX 78626    jduer@templetx.gov 512-869-6604 (home) 254-298-5707 (work)

TO BE COMPLETED IF THE APLLICANT IS SELECTED AS A DISTRICT 5870 GLOBAL GRANT SCHOLAR     EMERGENCY CONTACT INFORMATION     Family Name: First Name    Relationship:    Address:    Primary Phone:    Secondary Phone:    E-Mail Address:    Travel Insurance Carrier: Name:  Phone   Policy Number:    AGREEMENT   I accept the scholarship granted described below by The Rotary Foundation, Rotary   District 5870 and the Rotary Club of for study commencing during the academic years of 2013-14.    In accepting this scholarship, I understand and agree that:

1. I have read the Terms and Conditions for Rotary Foundation Global Grants as contained in Section 9 of the 2013-14 District 5870 Global Grant Scholarship Handbook and will adhere to all policies that apply to scholarships and the proper use of the funds awarded.

2. I remain eligible to receive a Rotary Scholarship, understanding that persons in the following categories are ineligible:

a. A Rotarian or Honorary Rotarian;

b. An employee of a Rotary club or district, of Rotary International, or of another Rotary-affiliated entity;

c. A spouse, a lineal descendant (child or grandchild by blood or adoption), a spouse of a lineal descendant, or an ancestor (parent or grandparent by blood) of any living person in the foregoing two categories; and

d. That Rotarians and their relatives as described above remain ineligible for 36 months after resignation.

3. All matters concerning transportation arrangements, insurance, housing, passports, visas, inoculations, medical readiness, and financial readiness are my personal responsibility and not that of any individual Rotarian, Rotary Club or district, Rotary International, The Rotary Foundation, or Rotary District 5870.

4. The academic program I am undertaking must be no shorter than one academic year in duration or longer than four years, and my program of study must be for postbaccalaureate work only in one or more of the six Areas of Focus established by The Rotary Foundation.

5. My scholarship studies can begin no earlier than 90 days after my Rotary Foundation Global Grant Scholarship is approved by The Rotary Foundation, and that I will not receive reimbursement for any expenses incurred prior to this date except for the items listed in paragraph 3 above.

6. The scholarship funding is $30,000. Scholarship funding is for only those items contained in the approved budget and can only be used for:

a. My studies (tuition, books, lab fees, other classroom and/or school fees, travel to and from my county of study at the commencement and end of my scholarship, and reasonable living expenses)

b. Completion of my humanitarian service project.

7. My scholarship is provided for direct enrollment at the approved study institution, and my funding is intended to defray my expenses only during my scholarship period, as approved by District 5870. My funding, either directly or indirectly, will cover no other person’s expenses.

8. Depending on tax laws in my home and host countries, the scholarship may be taxable to me in part or in full, and I acknowledge that I am solely responsible for investigating and paying all local, state and/or federal taxes that pertain to the funding of my scholarship, or otherwise result from residency in my home country.

9. I will live in the immediate vicinity of my approved study institution and in my host district, so that I can participate in the Rotary club and district activities of my host district.

10.Deferral or postponement of studies after the scholarship study period has begun will not be considered or approved.

11. The duration of this scholarship is for consecutive terms within the approved scholarship period at the study institution. Under no circumstances will this scholarship be extended beyond the approved time period.

12. I will be responsible for arranging travel to and from the study institution and will follow all travel policies listed in the Terms and Conditions.

13. I will keep my sponsoring Rotary Club, my and host sponsors and the District 5870 Scholarships Committee Chair advised of my current mailing address, telephone number, and email address at all times before, during and after my study period.

14. I will participate in mandatory orientation activities offered by my sponsoring Rotary Club or Rotary District 5870, and club and district activities during the term of my scholarship, as requested by my sponsors.

15. I may be required to complete the humanitarian service project during my period of study. I further understand that:

a. The project must be:

(1) Conducted in the Rotary District of my international host Rotary Club.

(2) In the same Area(s) of Focus as my academic studies.

(3) Executed during the scholarship period.

b. I will be expected to adhere to the Terms and Conditions for Rotary Foundation Global Grants as outlined in Section 9 of the 2013-14 Global Grant Scholarship Handbook.

16. I will submit progress reports to my sponsoring Rotary Club every 3 months for the term of my scholarship, including a final report one month before completion of my

scholarship period. I will send copies of these reports to the District 5870 Scholarships Committee Chair and to my host Rotary club.

17. I will exercise good judgment in expressing opinions regarding controversial,political, racial, or religious issues so as to avoid offending others. In addition, I will abide by the local laws of my host country.

18. Rotary International, The Rotary Foundation, Rotary District 5870, the sponsoring club, my approved study institution, and any Rotary district, club, or individual Rotarian are in no way responsible for enabling me to pursue my studies beyond my scholarship period. If I choose to pursue studies beyond that period, all expenses will be my responsibility.

19. I must maintain the following minimum insurance coverage throughout the duration of my scholarship:

a. $250,000 or equivalent for medical care and hospitalization for basic major medical expenses, including accident and illness expense, hospitalization, and related benefits.

b. $50,000 or equivalent for emergency evacuation.

c. $20,000 or equivalent for repatriation of remains

20. I understand that this insurance must be valid in the country/countries that I will travel to and visit during the duration of my participation, from the date of departure through the official end of the trip.

21. Upon request, I will provide to the host sponsor, international sponsor, The Rotary Foundation, and Rotary District 5870 a certificate of insurance evidencing the required coverages.

22. I understand that by requiring insurance herein, Rotary International, The Rotary Foundation, my sponsoring Rotary Club, and Rotary District 5870 do not represent that these coverages and limits will necessarily be adequate to protect me. I should consult with an insurance professional to determine which coverages and limits will be adequate to cover me in the geographical location(s) visited.

23. I understand that Rotary International, The Rotary Foundation, Rotary District 5870,and the sponsoring Rotary Club do not provide any type of insurance to me.

24. Rotary International, The Rotary Foundation, Rotary District 5870, my sponsoring Rotary Club, and the study institution are in no way liable for my personal welfare. I will refrain from engaging in dangerous activities and inappropriate personal behavior for the entirety of the scholarship period. I further affirm that I understand and agree to the following:

a. I am solely responsible for my actions and property while participating in, and traveling to and from, grant activities, scholarship activities and/or humanitarian service project activities.

b. While participating in this scholarship, I may be exposed to disease, injury, sickness, inadequate and unsafe public infrastructure, unsafe transportation, hazardous work and/or study conditions, strenuous physical activity, inclement weather, political unrest, cultural misunderstandings, issues resulting from noncompliance with local laws, physical injury or harm, and crime and fraud. I understand these risks and assume all risks involved with this scholarship and agree to indemnify and hold harmless Rotary International, The Rotary Foundation, my sponsoring Rotary Club, and Rotary District 5870 from any and all damages or injuries that may result from the above.

c. I do hereby release Rotary International, The Rotary Foundation, my sponsoring Rotary Club, and Rotary District 5870 from any liability, responsibility, and obligation, either financial or otherwise, beyond providing the grant.

d. If I, because of serious illness or injury not resulting from prohibited dangerous activities or inappropriate personal conduct, am unable to complete the terms of this agreement and must return home, my sponsoring Rotary Club shall pay to arrange for transportation home. Rotary International, The Rotary Foundation, my sponsoring Rotary Club, and Rotary District 5870 shall not assume any additional costs including the cost of any medical care or treatment, now or in the future.

e. I shall be solely responsible for any and all costs and damages for any illness, injury, or other loss (including loss of consortium and emotional loss) incurred or suffered participating in, traveling to or from the grant activity, or otherwise related to the provision of the grant.

25. Scholars who engage in any type of medical practice or activity including but not limited to routine medical procedures, surgical procedures, dental practice, and contact with infectious diseases are reminded they are solely responsible (including providing for adequate insurance) for any and all liability that may arise from their participation in this activity and hold harmless Rotary International, The Rotary

Foundation, the sponsoring Rotary Club, and Rotary District 5870.

26. I do hereby release Rotary International, The Rotary Foundation, and Rotary District 5870, my sponsoring Rotary Club, host club, host district, and their members and associates from any liability, responsibility, and obligation, either financial or otherwise, beyond providing the scholarship, and am responsible for all costs not covered by the scholarship. I do hereby agree to defend, indemnify and

hold harmless Rotary International, The Rotary Foundation, Rotary District 5870, and my sponsoring Rotary Club from and against all claims (including, without limitation, claims for bodily injury or property damage), demands, actions, damages, losses, costs, liabilities, fines, expenses (including reasonable attorney’s fees and other legal expenses), awards and judgments asserted against or recovered from Rotary International, The Rotary Foundation, Rotary District 5870, and the sponsoring Rotary Club arising out of any act, conduct, omission, negligence, misconduct, unlawful acts, or violations of any of the terms and conditions that apply to this scholarship. The foregoing includes, without limitation, injury or damage to the person or property of Rotary International, The Rotary Foundation,

Rotary District 5870, the sponsoring Rotary Club or any third party, whether or not subject to any policy of insurance.

27. I will abide by all Rotary District 5870 decisions related to travel safety. Therefore, if Rotary District 5870 determines, in its sole discretion, at any point in the scholarship period, that my safety in the country where I am studying could be or is at risk,Rotary District 5870 may require that I return home immediately. In such instances,   I agree further to abide by Rotary District 5870’s decision as to the subsequent availability of my scholarship.

28. Any actions of mine that result in the following situations will be properly construed as sufficient grounds for revocation of my scholarship:

a. Failure to maintain good academic standing pursuant to the community college or technical school standards throughout the scholarship period;

b. Evidence of misconduct;

c. Failure to submit required reports on time;

d. Change in study program without the consent of Rotary District 5870;

e. Withdrawal from institution before expiration of the scholarship term;

f. Failure to adequately fulfill scholarship duties;

g. Failure to follow the directions of my sponsoring Rotary Club;

h. Failure to provide my sponsoring Rotary Club with my current information including mailing address, telephone numbers, and e-mail address at all times;

i. Failure to maintain regular communications with my sponsoring Rotary Club; j. A contingency that prevents me from fulfilling all the obligations of the

scholarship.

29. Revocation of a scholarship shall cause all payments to cease and may make me personally liable for the return of payments previously provided.

30. I will promptly return any unused grant funds to my sponsoring Rotary Club.

31. Rotary District 5870 is permitted to share my name and contact details with other scholars and Rotary districts upon request. Unless I indicate otherwise in writing,

by submission of any photos in connection with my report(s), I hereby give publication rights to Rotary International, The Rotary Foundation, and Rotary

District 5870 for promotional purposes to further the Object of Rotary, including but not limited to Rotary International, The Rotary Foundation, and Rotary District 5870

publications, advertisements, and Web sites. I also authorize Rotary International, The Rotary Foundation, and Rotary District 5870 to share photos from my final

report with Rotary entities for promotional purposes to further the Object of Rotary.

32. The laws of the State of Illinois shall govern all matters arising out of or relating to this Agreement, including, without limitation, its interpretation, construction,

performance, and enforcement. Any legal action brought by either Party against the other Party arising out of or relating to this Agreement must be brought in either

the Circuit Court of Cook County, State of Illinois or the Federal District Court for the Northern District of Illinois. Each Party consents to the exclusive jurisdiction of

these courts, and their respective appellate courts for the purpose of such actions.  Nothing herein prohibits a party that obtains a judgment in either of the designated

courts from enforcing the judgment in any other court.   Please confirm the following:    I have read and agree to the Terms and Conditions of the Rotary Foundation

Global Grants and the above terms of agreement associated with my participation in this scholarship.     I meet the medical requirements for international travel and all grant activities during the scholarship period.     I understand that I am required to secure travel and medical insurance as outlined in the scholar agreement, and that I must provide details about these coverages in the emergency contact section above. I understand that this insurance must be valid for all countries visited during the scholarship period.   I understand that Rotary International, The Rotary Foundation, Rotary District 5870, and my sponsoring Rotary Club do not provide any type of insurance to scholars.     I release Rotary International, The Rotary Foundation, Rotary District 5870, and my sponsoring Rotary Club from any and all liability with regard to my involvement in this grant.   Name (please print):     Signature (mandatory):     Date:

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