2023 Florida Asphalt Scholarship Program Application
Please make sure you have your TWO Letters of Recommendation, Transcripts, and ACT/SAT Test Scores before you begin this application
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Does one of your parents or guardians work at an ACAF member company?
*
Yes
No
If yes, name of parent or guardian employed by an ACAF member company:
If yes, name of ACAF member company:
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Academic Information
Name of High School
*
Year of High School Graduation
*
List of schools you are applying to for the next academic year:
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List of schools you have already been accepted to:
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What are your plans for the 2023 Summer?
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What type of careers would you like to pursue?
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Class Standing Number (for example, 57 out of 200) or Percent (for example, Top 15%)
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Courses of study you have followed in High School (for example, AP, Honors, IB, Industrial, Magnet, etc.)
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List your extracurricular activities:
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Honors, awards, or distinctions received:
*
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Essay
Please limit this essay to 500 words
Please submit an original essay selecting ONE of the following topics: (1.) Describe a significant experience and how it changed you. (2.) What has been your greatest accomplishment? (3.) Walk outside your front door—what would you change? (4.) Describe something you have done that had a positive effect on someone? (5.) What about the road building and paving industry attracts you?
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Please Upload the Following
First Letter of Recommendation
*
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Second Letter of Recommendation
*
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High School Transcript
*
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SAT or ACT Scores
*
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Signature
Please sign below to affirm the accuracy and completeness of you application. By signing, you agree to allow for the Florida Asphalt Scholarship Program to use portions of your essay in promotional communications and publications.
Signature
*
Date
*
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Month
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Day
Year
Date
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