Carefree Cave Creek Chamber of Commerce Achievement Form
General Information
Student Name
First Name
Middle Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Current Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Grade
GPA
Expected Graduation Date
Proposed Field(s) of Study
Colleges Applied to
What are your career aspirations and how do you plan to achieve them?
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Scholarship Information
How will receiving this scholarship help you pursue your academic and career goals?
Explain your financial need for this scholarship.
How will receiving this scholarship alleviate financial burdens and help you focus more on your academic pursuits?
As of this date, have you been awarded any financial aid?
If yes, please list the organization(s).
List any clubs, organizations, or teams you are part of.
This can include past clubs, organizations, and teams.
Describe any leadership roles you have held within these organizations.
The clubs, organizations or teams that were in the last question.
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Describe any academic achievements, awards, or honors you have received as well as extracurricular involvement.
How do you plan to utilize your academic achievements to make a positive impact in your field of study or community?
List significant community volunteer activities and how many hours you volunteered.
Describe your volunteer duties.
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Name of business(s) where you are currently interning and the name and contact information of your supervisor.
Just would need your supervisor's name, email, and phone number.
How has your involvement in the community shaped your personal values and goals?
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Please write an essay (500-800 words) discussing a significant experience or accomplishment that has shaped who you are as a person and influenced your academic or career path.
Please provide the contact information for 2 or 3 references (e.g. teachers, mentors, employers) who can speak to your character, academic performance, and/or extracurricular involvement.
Is there any additional information you would like the scholarship committee to consider when evaluating your application?
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