2019 MPPRCC Scholarship Application

Please read this application carefully. Make sure the information you provide is complete and accurate. The committee will only consider completed applications. You must submit this form by May 31, 2021, at 5:00 pm.

If you have any question/issues, do not hesitate to reach us at kiwanismpp@gmail.com.

College Applications
Please indicate at least one college/university that you have applied to or been accepted to attend. You may indicate up to three (3) choices.
College/University Name *
Major/Program Name *
Tuition & Fees (Per Year) *
Room & Board (Per Year) *
Accepted? *

Yes No
College/University Name
Major/Program Name
Tuition & Fees (Per Year)
Room & Board (Per Year)
Accepted?

Yes No
College/University Name
Major/Program Name
Tuition & Fees (Per Year)
Room & Board (Per Year)
Accepted?

Yes No

Employment Information
Please fill out any information pertaining to your current or previous work experience.
Employer Company Name
Position & Responsibilities
Employment Dates
Employer Company Name
Position & Responsibilities
Employment Dates

Extracurricular Activities
Include all activities (school and community) in which you have participated. Please be sure to list any awards or honors received, number of years active, offices/leadership positions held, volunteer work, community service projects, fundraisers, or other activities in which you have supported your family, school or community.
Activity 1
Name of the activity
Activity 1
Description of Involvement
Activity 2
Name of the activity
Activity 2
Description of Involvement
Activity 3
Name of the activity
Activity 3
Description of Involvement
Activity 4
Name of the activity
Activity 4
Description of Involvement
Activity 5
Name of the activity
Activity 5
Description of Involvement

Personal Essay
Your Personal Essay is very important for us to better understand who you are. Please write your Personal Essay in no more than 500 words.

Topic: Describe what a successful servant leader looks like.
Upload your Personal Essay *
PDF Format preferred.

Submission
By submitting this application, I grant to the Kiwanis Club of Miramar Pembroke Pines Foundation, its representatives, and its members the right to take photographs of me and my property in connection with the above-identified subject. I authorize Kiwanis, its assignees and transferees to copyright, use and publish the same in print and/or electronically.I agree that Kiwanis may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and web content.I hereby waive any right to inspect or approve the finished photograph and/or publication. I also agree that I am not to be compensated. *

Yes, I agree / Understand
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