Form

Scholarship - Scholarship Application

Scholar First Name

Scholar Last Name

School

Date of Birth

Home Phone

Cell Phone

Address (including city, state and zip code)

Unweighted GPA

What colleges/universities have you applied or will you apply to?

Will you be enrolling in a nursing program in the Fall?

Briefly describe the organization for which you performed your community service hours. In addition, discuss why you chose that particular organization.

Briefly discuss the most meaningful lesson(s) you have learned from your community service experience.

Has your community service experience had an effect on your future career path? Please explain.

Have you ever been convicted of a crime?

Scholarship Acknowledgement

By applying for any Junior League of Miami scholarship you acknowledge, agree and understand that deferral of your award may be made for no more than one (1) school year at the discretion of the Junior League of Miami. Failure to enroll at a university or college and to attend the same within one school year from your award date shall result in your forfeiture of any scholarship award from the Junior League of Miami.

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