The application is available for download below. Please mail the completed form along with all additional required documents to:

Darcy Akers Ormond Beach Rotary Scholarship Fund
PO Box 104
Ormond Beach, FL 32175

Prospective applicants must be in the top 15% of their senior class. Additional criteria to be considered include community service, demonstrated leadership in school and community activities, character, integrity, initiative and other personal qualities, and financial need. Finalists will be required to attend a live interview in front of the selection committee. In addition, the following documentation must be attached to this application form:

  • High school transcript, including the applicant’s class rank and SAT/ACT scores.
  • One letter of recommendation from a teacher or counselor at the student’s current school.
  • Two letters of recommendation from people or organizations closely familiar with the applicant’s community service, leadership activities or charity work. Writers must neither be related to the applicant nor staff members of the applicant’s school.
  • A copy of the first page of the family’s tax return from prior year. (Page one of 1040/1040EZ form) *any other form submitted will disqualify applicant
  • Personal Statement - in a one page letter, please write about your life, challenges, successes and obstacles you have overcome to get where you are today. Give us your life story so that we may be able to get to know you better!