WCCC Scholarship Submission Form

Women’s Club of Coconut Creek Scholarship Application

You must complete all of the requirements below. DEADLINE: MARCH 28, 2025
Name*

First NameLast Name
Birth Date*

MonthDayYear
Career of Interest *
Alternate Career of Interest
High School Attending*
Phone Number*
E-mail*
example@example.com
1. Video Component

Videos must be 1-4 minutes in length
Create and submit a video that answers the following questions:

1. What are your future career and educational goals? Be specific to YOUR goals and dreams for YOUR future.

2. What are you passionate about? What kinds of things are important to you? Be descriptive and include specific examples.

3. What motivates you to be successful? What does success look like to you?

*Be honest, descriptive, and genuine in all of your answers.

PLEASE VIEW THE RUBRIC BELOW TO SEE THE CRITERIA THAT OUR PANEL OF JUDGES WILL USE TO SCORE YOUR SUBMISSION!
Upload Video Submission Here*

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I do hereby certify that all information in this video is true and correct to the best of my knowledge.

I do hereby consent to the use of this video by the Women's Club of Coconut Creek on Facebook, Instagram, or website, or in any other promotional ways related to the club.

By signing below, I agree to the above statements.
Signature*

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Date*

MonthDayYear
Date
2. Written Component

The essay must be 300-500 words and include at least one image.
Community Service Experience Essay*

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Write 300-500 words on the following topic:

Share a special moment in community service that is personal to you and the community of Coconut Creek. Explain how your service positively impacted the community. Explain how the act of service positively impacted you personally.

The essay must be 300-500 words and include at least one image.
3. Upload Academic Documentation
Transcripts*

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Service Hours*

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SAT Scores (optional)

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4. References Required!

Select 2 individuals who can write a reference on your behalf.
You must provide contact information for two references.

Reference 1: will be from an adult (ie. coach, teacher, employer, mentor).

Reference 2: will be from a peer (ie. classmate, teammate, coworker, friend).

Please provide the requested information below.

PLEASE NOTE:

The applicant may NOT assist with writing the reference letter on their behalf.
Adult Reference Email*
example@example.com
Adult Reference Phone Number*
Adult Reference Letter*

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Peer Reference Email*
example@example.com
Peer Reference Phone Number*
Peer Reference Letter*

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Contact:

Scholarships@womensclubcoconutcreek.com with any questions or concerns.
Should be Empty:

Women’s Club of Coconut Creek Scholarship Application

1. Video Component

2. Written Component

3. Upload Academic Documentation

4. References Required!