Moser Vocational Scholarship Form

THE GERALD "MOE" & MARINA MOSHER VOCATIONAL SCHOLARSHIP APPLICATION
Eligibility Requirements: The Gerald “Moe” & Marina Mosher Vocational Scholarship, established in 2016, is a $2,000 scholarship that will be awarded annually to a graduating senior from Key West High School who has been accepted into a post-secondary vocational or technical education program at an accredited institution. Mr. Stewart Appelrouth and Mr. Ed Swift have graciously offered this scholarship in honor of Gerald “Moe” and Marina Mosher who were very community minded.
Personal Information:
Name*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Are you a resident of Monroe County?*

YesNo

Educational Information
Upload Transcript*

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Number of years attending Key West High School:

Prospective Post-Secondary Vocational Institution or Technical Program Information:

	Program	City/State	Accepted (Yes/No)
1
2
3
4

What is your expected area of study?*
What is your high school grade point average (4.0) weighted only*
Please list any advanced education, vocational, trade, or technical school courses, you have taken or are currently enrolled:

Financial Data
Are you currently employed?*

YesNo

If so, where, in what capacity, and how many hours per week?

	Company	Position	# of Hours
1
2
3
4

Please list the type and amount of any financial assistance you have received or anticipate receiving.
Please explain any family circumstance that may have a financial effect on your plans for college, such as siblings or other family members in college, private tuition, etc.

Community Service

List in order of importance all extracurricular activities, school, religious or community, in which you have participated during your high school career: (Do not include employment.) You may attach more information if you wish.

	Activity	Date of Participation	Offices Held
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2
3
4

Upload more information regarding the above question here.

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Total number of reported hours of community:*
List all honors or awards you have received during high school:

References
First Letter of Recommendation

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Second Letter of Recommendation

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List the names, addresses and telephone numbers of two individuals (not relatives) who may serve as references. These people should know you and your academic record well. A letter of recommendation is required from both persons.

References*

	Name	Address	Phone Number
1
2

Supporting Material
Upload Your Essay Here (as indicated above)*

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On a separate sheet of paper, please state your contribution to the community, and your school, civic and religious activities, and why you wish to be considered for this scholarship. Include your plans and goals for the future, and how you hope to achieve them. (Maximum length of one page typed and double spaced.)
Please sign, date this application, and attach a certified copy of your high school transcript. The scholarship grant check will be payable when the student forwards a copy of class registration to the Greater Key West Chamber of Commerce. The Chamber of Commerce will provide a letter stating monies will be forthcoming.

Please note that incomplete applications cannot be accepted.
Certified Copy of your high school transcript

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Applicant's Signature

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Name of Applicant

First NameLast Name
Date Signed by Applicant

MonthDayYear
Date
Should be Empty:

THE GERALD "MOE" & MARINA MOSHER VOCATIONAL SCHOLARSHIP APPLICATION

Personal Information:

Educational Information

Financial Data

Community Service

References

Supporting Material