C/O Miami Beach Senior High School

2231 Prairie Avenue

Miami Beach, Florida 33139

Room 306

Phone: (305) 532-4515 x 2055

Email: Maria Sahwell, MS

College Assistance Advisor

305-532-4515 x-2055

ALUMNI ASSOCIATION SCHOLARSHIPS

Scholarships in the amount of $1,000-$5,000

Filling out this form may change your future!

REQUIREMENTS FOR APPLICANTS:

  1. Miami Beach Senior High School Graduating Senior
  1. GPA of at Least 3.0 unweighted
  1. Record of service to the Community
  1. Have two letters of Recommendation attached to your application. One must be a former or current teacher, and one from an individual (not a relative) familiar with your character.
  1. One page essay on past accomplishments and future goals.
  1. Completed application form.
  1. Attend finalist interview by Alumni Association’s Selection Committee.
  1. Photo ID
  1. Videotaping Release (see form attached)

Optional Information: We will welcome a submission of a power point, video, or multimedia presentation in order to give the Alumni Association Scholarship Committee further insight into you as a candidate.

Directions

SCHOLARSHIP APPLICATION FORM

  1. Applications: Complete all sections of this application. All information must be printed or typed. Submit the completed application form in person to Ms. Maria Sahwell, Administrative Liaison MBSH Staff by2:00 p.m.,ThursdayApril 7, 2016.
  2. Course Credit analysis

I.PERSONAL DATA

Last :______First:______Middle Initial:______

Address:______City:______State:____ZipCode:______

Telephone: Home:______Cell:______Email:______

II.EDUCATION

High SchoolLocation Dates of Attendance

______

______

______

Cumulative high school G.P.A.______unweighted ______weighted

Expected rank in class______

S.A.T. score______and/or A.C.T. score______

List the name(s) of colleges/universities to which you have been accepted or waitlisted in the preferred order of attendance. If you know which school you will attend, put an asterisk next to it.

NameLocationAccepted yes/no

  1. ______
  1. ______
  1. ______
  1. ______
  1. ______

ALUMNI ASSOCIATION SCHOLARSHIP

If known, what are you career interests at the present time? If unknown, list the areas in which you are most interested at the present time.

First: ______

Second: ______

Third: ______

List extracurricular activities in which you have been involved while attending high school:

______

______

List honors received while in high school, including academic, offices held, etc.:

______

______

______

______

III.ORGANIZATIONS (indicate responsibility: officer, chairman, member)

Academic

______

______

______

Civic, Community, Other

______

______

IV.EXPERIENCE

List jobs you have held and approximate hours worked per week:

______

______

______

______

List volunteer hours and place you volunteered, if applicable:

  1. REFERENCES

List the names and addresses of persons from whom you have requested letters of recommendation addressed to the Chairman of the Scholarship Committee. Include (1) teacher and (1) character reference (not a relative).

NameAddressPosition

  1. ______
  1. ______

VI.ATTACH ESSAY

Write a short essay on what Miami Beach Senior High has done for you, your future goals and aspirations, your personal qualities, obstacles you have encountered and dealt with effectively. Provide a summary that will enable us to gain insight about you as an individual and how the potential you possess may impact the future.

If awarded a scholarship, I will meet the general conditions of acceptance as outlined in the scholarship award regulations. I HEREBY ACKNOWLEDGE THAT THE INFORMATION SUBMITTED HEREWITH IS TRUE AND CORRECT.

______

(Signature)

Date:______

1

Miami Beach Senior High School Alumni Association