2023 Appelrouth Form

THE APPELROUTH FAMILY SCHOLARSHIP APPLICATION
Eligibility Requirements: The Appelrouth Scholarship was established in 1991. These $1,000 scholarships each are presented annually to a deserving young man and woman graduating from Key West High School, who has demonstrated a strong background in community and volunteer service, carry a weighted 2.5 - 3.5 GPA and show a sincere financial need supported by a FAFSA EFC of $XX or less. The family of Billy and Rachel Appelrouth has graciously offered this scholarship in honor of their parents who were very active within the community.
Personal Information:
Name *

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

Area Code Phone Number
Address *

Street Address

Street Address Line 2

City State / Province

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

Yes No

Educational Information
Number of years attending Key West High School:

List the colleges to which you have applied:

	Institution	City/State	Accepted (yes/No)
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2
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4

What is your expected major? *
What is your high school grade point average (4.0) weighted only *
Please list any dual enrollment and advanced placement courses you have taken or are currently enrolled:

Financial Data
FAFSA Upload

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Are you currently employed? *

Yes No

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

	Company	Position	# of Hours
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2
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Please list the type and amount of any financial assistance you have received or anticipate receiving.
Please explain any family circumstance that mayhave a financial effect on your plans for college, such as siblings or otherfamily members in college, private tuition, etc.
Please attach the FAFSA summary sheet.

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Community Service

List in order of importance all extracurricular activities, school 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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Upload more information regarding the above question here.

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Community Service Hours *
List all honors or awards you have received during high school:

References
List the names, addresses and telephone numbers of three individuals (not relatives) who may serve as references. These people should know you and your academic record well. One reference must be a current teacher or administrator from your high school on school letterhead. The other two do not need to provide a letter.

References *

	Name	Address	Phone Number
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2
3

Letter of Recommendation from Teacher or Administrator

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If you do not have a letter to upload. Please have letter sent to: Key West Chamber of Commerce Foundation, 510 Greene Street, Fist Floor, Key West, FL 33040. Letter must be recieved no later than March 31, 2022 Cancel of

Supporting Material
Upload Your Essay Here (As indicated below) *

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On a separate sheet of paper, please state your contribution to the community, and also 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.)
Certified Copy of your high school transcript

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Please sign and date this application and agree to attach a certified copy of your high school transcript.

Please note that incomplete applications cannot be accepted.
Applicant's Signature

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Name of Applicant

First Name Last Name
Date Signed by Applicant

Month Day Year
Date
Should be Empty:

THE APPELROUTH FAMILY SCHOLARSHIP APPLICATION

Personal Information:

Educational Information

Financial Data

Community Service

References

Supporting Material