Eileen McCaughan Memorial Scholarship Application

Personal Information

First Name

Last Name

Email

Phone

Address

City

State

Zip

Gender

Marital Status

Date of Birth

Citizen of United States of America

Yes

No

If not presently living in the Village of Key Biscayne, give years of residence within the Village of Key Biscayne

Place of Birth

Parent/Guardian 1

First Name

Last Name

Address

City

State

Zip

Phone

Employer

Parent/Guardian 2

First Name

Last Name

Address

City

State

Zip

Phone

Employer

Spouse

First Name

Last Name

Address

City

State

Zip

Phone

Employer

Dependents

Other children/dependents supported by parent or guardian or applicant (Please list their name, age, and highest/current level of education completed)

High School

High School of Graduation

Graduation Date

Rank In Class

GPA

College

Please indicate below the colleges to which you have applied in order of preference and select your acceptance status for each college.

College #1

Status

College #2

Status

College #3

Status

College #4

Status

College #5

Status

Intended Major

Where do you intend to live?

What do you anticipate your total annual costs to be?

Amount you have saved for your college education

Amount you anticipate to earn annually for education

Amount you anticipate your family/parents/guardians will contribute

Financial Aid & Scholarships

Have you applied for any other scholarship at any time? Is there any special scholarship or aid available to you? For example: military, work study employment, etc.

Have you ever been granted any of the above? If yes, which and how much?

Have you applied for financial aid for the upcoming academic year?

Activities/Honors/Awards

Scholastic: List school activites - Sports, clubs, offices and academic honors received while attending school ---- for example: Band 2,3

Civic: List non-school activities and organizations in which you have been involved and any awards or commendations you have received.

Special Circumstances

You may use this space to explain any personal or family circumstances that would influence the commitee in the selection process. Such things as financial problems, other siblings in college, illness, handicaps, unemployment, etc. may be considered.

File Attachments

All of the following files are required. If you have difficulties uploading your files, please complete the application and email your attachments to info@keybiscaynefoundation.org

College/University Permission to Release Information

Choose File

Most Recent Tax Return

Choose File

Most Recent Transcript

Choose File

Resumé

Choose File

Letter of Recommendation #1

Choose File

Letter of Recommendation #2

Choose File

Authorized Certification

By certifying and submitting this application, I certify that all of the information reported in this application is true and correct to the best of my knowledge, and further that I understand and agree that if I am awarded this scholarship, it will be payable to the college, as a credit to me, only upon proof of full-time enrollment at the college.

First Name

Last Name

Personal Information

Parent/Guardian 1

Parent/Guardian 2

Spouse

Dependents

High School

College

Financial Aid & Scholarships

Activities/Honors/Awards

Special Circumstances

File Attachments

Authorized Certification

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