Women's Club of Coconut Creek in Partnership with the Coconut Creek Benevolent Association Fire Rescue Scholarship Application Form
Any graduating high school senior living in the City of Coconut Creek who is pursuing a career as a Firefighter, EMT, or Paramedic may apply.
Student Applicant's Name
First Name
Last Name
Student Applicant's Phone Number
Student Applicant's E-mail
Enter E-mail Here
Home Address as Listed on Official H.S. Transcript (must reside in Coconut Creek)
Street Address
Apt/Unit #
City
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State
Zip Code
Parent/Guardian Name
First Name
Last Name
Parent/Guardian Phone Number
Parent/Guardian E-mail
Enter E-mail Here
Were You Ever Affiliated with the Coconut Creek Fire Cadet Program?
YES
NO
NO, but I was part of a similar program with another organization
High School Name
High School Student ID#
Anticipated Graduation Date
-
Month
-
Day
Year
Date
Current Unweighted GPA
on a 4.0 scale
Highest SAT (Scholastic Assessment Test) Score Recorded
on a 1600-point scale. Enter 0 in the blank if not taken
Highest ACT (American College Test) Score Recorded
on a 36-point scale. Enter 0 in the blank if not taken
Highest CLT (Classic Learning Test) Recorded
on a 120-point scale. Enter 0 in the blank if not taken
Upload a 5-Paragraph Personal Essay Explaining How The Service Work You've Completed as It Relates to Fire Rescue Has Positively Impacted the Coconut Creek Community. (detailed assessment and instructions are located on the Women's Club website)
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Please Note: Any that information within this essay that discloses your personal identity will disqualify your entire scholarship application.
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Upload a 5-Paragraph Personal Essay Explaining How You Might Collaborate With The Women's Club of Coconut Creek on Initiatives that Make a Positive Impact on The Coconut Creek Community In the Future If You Were Awarded This Scholarship. (detailed assessment and instructions are located on the Women's Club website)
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Please Note: Any that information within this essay that discloses your personal identity will disqualify your entire scholarship application.
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Upload High School Transcript Confirming Your Coconut Creek Address and Unweighted GPA as Listed Above
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Upload SAT Score Document
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Upload ACT Score Document
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Upload CLT Score Document
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If your application is selected as a finalist, please provide one reference whom the final judge may contact to discuss your service work within the City of Coconut Creek.
First Name
Last Name
Please briefly explain how this reference knows you and your service work within the City of Coconut Creek.
0/600
Reference Phone Number
Reference E-mail
Enter E-mail Here
By signing and submitting this application to the Women's Club of Coconut Creek, I certify that all the information provided is true and accurate. I also confirm that artificial intelligence was not used in any capacity to create my submission material. I understand that if any part of my application is found to be inaccurate or in violation of the scholarship rules, I will be disqualified from the competition.
Please see www.WomensClubCoconutCreek.com for more information
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