Kiwanis of Homestead-South Dade

Online Scholarship Application – Faculty Advisor/Administrator Portion

All applications are due by March 31, 2023. Incomplete applications will not be considered.

Please fill out form in full below if there are any questions, please contact Mia DeVane at miadevane2@yahoo.com.

Student Name *

First

Last

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Date *

High School *

Faculty Advisor Name *

First

Last

High School Address *

Address Line 1

Address Line 2

City

State

Zip Code

Faculty Advisor Phone *

Faculty Advisor Email *

Cumulative GPA

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Unweighted *

Weighted *

SAT Scores

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Math *

English *

Total *

ACT Scores

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Math *

English *

Science *

Total *

Key Club Member *

Yes
No

Community Service

Total # of Hours *

Additional Comments

School Administrator/Faculty Advisor: As school administrator, I verify that that the above named student is currently enrolled in school, or recently graduated, and has achieved the grade point averages and test scores (SAT/ACT) stated above.

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Faculty Advisor's Signature *

Signature Date *

Join Us Now!

To join Kiwanis of Homestead/South Dade, please fill out a Membership Application and either fax, mail or save & email to us.

Download Application

Reach Us

Please contact us using the information below.

Address

Emily Guzman, President
Kiwanis of Homestead-South Dade
PO Box 1754 Homestead, FL 33090-1754

Phone #

(786)399.4161

E-Mail

info@homesteadkiwanis.org

Kiwanis of Homestead-South Dade

All applications are due by March 31, 2023. Incomplete applications will not be considered.

Please fill out form in full below if there are any questions, please contact Mia DeVane at miadevane2@yahoo.com.

Cumulative GPA

SAT Scores

ACT Scores

Community Service

School Administrator/Faculty Advisor: As school administrator, I verify that that the above named student is currently enrolled in school, or recently graduated, and has achieved the grade point averages and test scores (SAT/ACT) stated above.

Join Us Now!

Reach Us

Address

Phone #

E-Mail

Send Us a Message