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SCUBA Scholarship Application 2024
*Note: Please complete this application to the best of your ability. We are located in Tallahassee, Florida.
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Personal Information and Demographics
Name:
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Your answer
Phone number
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Your answer
Email address:
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Your answer
Date of birth:
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Gender
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Female
Male
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Street Address:
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Your answer
City:
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Your answer
State:
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ZIP Code:
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Highest level of education earned:
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Your answer
Ethnicity:
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Your answer
Disability and accommodations needed?
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Your answer
Employment Information
What is your story? If you are a veteran, what branch of service? How long did you serve and where? Do you have any combat-related injuries or conditions?
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Your answer
Current employer name and location:
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Your answer
What are your aspirations for the future?
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Your answer
If money were no object, what would you do with your time?
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Please copy and paste your resume or CV:
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Describe any leadership roles you have held.
Describe your experience with mentoring and coaching (giving and receiving):
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What are your leadership strengths?
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Your answer
Activities, Awards, and Community Involvement
What awards have you earned?
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Your answer
List your favorite activities:
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What community involvement or volunteer activity makes you most proud and why?
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References and Referrals
Please list three (3) references (contact information, how long known, relationship to applicant):
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How did you hear about the Life Worth Leading scholarship?
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If you were referred, please share the name of the person who told you about this opportunity.
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Commitment
I commit to the program in its entirety and agree to actively participate in lectures, pool sessions, and SCUBA diving, and to engage in feedback geared toward developing my leadership skills.
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