Evelyn KawalerMemorial Scholarship Application

In addition to completing this application, you must also attach:

  1. A one-page essay that clearly describes one charitable or non-profit organization you would support if you were a philanthropist. You must specify your reasons for wanting to contribute to the betterment of the organization
  2. Your current student financial aid report (consult with the Financial Aid office for information on how to retrieve this)

***Incomplete applications or applications missing required information will not be considered***

Name of Scholarship: / Evelyn Kawaler Scholarship
Name: / Gender:
Last / First / M. I. / Female / Male
S. S. # or Student ID#:
Address:
Street / Apt # / City / County/State / Zip
Birth date: / Marital Status:
Month/Date/Year / Married / Single / Divorced / Widowed
Telephone: / Email Address:
Home / Work
Ethnic Origin:
White (not of Hispanic origin) / Asian or Pacific Islander
Black (not of Hispanic origin) / American Indian of Native Alaskan
Hispanic / Other
Are you a U.S. citizen? / Are you a veteran?
Yes / No / Yes / No
Please list the highest level of education of your parents: / Mother: / Father:
Are you an immigrant or refugee (not on tourist, visitor, or f-l visa)?
(Proof of status must be provided with application)
Yes / No
Are you currently employed? / If yes, then please list your place of employment:
Yes / No
If working, list the number of hours per week:

EDUCATIONAL INFORMATION

High School Attended: / Graduation Date:
LastSchool Attended: / Cumulative GPA:
Location of last school attended:
City / State
SAT scores: / ACT scores:
Verbal / Math / Total / English / Math / Reading / Composite Scores
Did you request your test results be mailed to Florida KeysCommunity College?
Yes / No
Intended Program of Study:
General (university transfer) / Diving Business & Tech. / Nursing / Law Enforcement
Computer Information Tech. / Marine Environmental Tech. / Addiction Studies / Correctional Off.
Computer Program & Analysis / Marine Engineering & Sea. / Emergency Med.Tech. / Business Admin.
What are your career goals?
List your extracurricular activities:
List any Honors you have received:
List any involvement in community activities:
Indicate your degree objective at FKCC:
Associate in Arts degree (university transfer) / Associate in Applied Science
Associate in Science / Certificate
Intended Enrollment Status:
Full-time: 12 or more credit hours / Half-time: 6-8 credit hours
Three-quarter time: 9-11 credit hours / Quarter time: 2-5 credit hours
The scholarship I am applying for will become effective :
Fall Term (Beginning August)

FINANCIAL INFORMATION

Have you applied for Financial Aid?
Yes / No
Have you previously received a Kawaler Scholarship? / Please list semester(s)& year(s) received:
Yes / No
Please indicate other outside resources (grants, scholarships, loans) you have applied for or have been awarded to help assist with your educational expenses. Be sure to include the award amount of the grant, loan or scholarship.
Grants:
Loans:
Scholarships:
Others:

ALL SCHOLARSHIP APPLICANTS MUSTCOMPLETE THE FAFSA APPLICATION and attach a copy of their Student Financial Aid Report with this application.

Application can be obtained on the following link:

Signature: / Date:

Application for admission to Florida KeysCommunity College must be made separately (when applicable) and precede the awarding of the scholarship.

Submit application by Friday, July 18, 2008 for Fall 2008 semester or Friday, December 5, 2008 for Spring 2009 semester to:

or to:

Florida KeysCommunity College

Office of Financial Aid

5901 College Road

Key West, FL33040

EQUITY STATEMENT: Florida KeysCommunity College is committed to providing equal access/ equal opportunity. The College does not discriminate on the basis of color, race, sexual orientation, religion, gender, age, national origin, marital status or disability in admission to, or employment in, its education programs or activities. FKCC complies with the Florida Educational Equity Act and with Title IX of the Education Amendments of 1972. Inquiries concerning application and implementing regulations may be referred to the College’s Equity Coordinator, Lisa Weinshank, Office 1512, Human Resources, 5901 College Road, Key West, FL33040, (305)809-3248 or to the Office for Civil Rights of the U.S. Department of Education.