The Emma Booth Kind Ambassador Scholarship

Emma Booth Kind Ambassador Scholarship Application

"*" indicates required fields

Scholarship Applicant Information

Name of Applicant*

First Last

Applicant Birthdate*

Applicant Phone*

Applicant Email*

High School Attended*

High School Graduation Date*

Parent or Guardian Information

Parent/Guardian Name*

First Last

Parent/Guardian Phone*

Parent/Guardian Email*

Additional Information

Please list the College or Trade School you are enrolled to take classes.*

The number of times you have volunteered for Kind Camp. Please also list the year/s you volunteered.*

Please list the total amount of hours you have volunteered with Keys To Kindness. This would include any other events outside of K2K Kind Camp. Example: Golf Tournament, Community Event, Our Internship Program, etc..*

Total Number of Approved Service Hours with other organizations, other than Keys To Kindness..*

Academic Achievements and Extracurricular Activities.*

Please list all academic achievements and extracurriculars you would like us to know about.

Community Service History*

Please list all community service opportunities you have been a part of, both in and outside of school.

Essay*

In a minimum of 500 words the essay must include the following: 1. Please detail your community service work. 2. What you learned at Kind Camp and what made the most impact. 3. Why you deserve a scholarship. 4. How you plan on continuing to serve others.

References

Please include three references from people who can attest to your character and community service. References cannot be from a family member and are not valid unless their contact information is included in their reference letter.

Reference #1- School*

Max. file size: 800 MB.

Reference #2- Work or Other Mentor*

Max. file size: 800 MB.

Reference #3- Family Friend*

Max. file size: 800 MB.

Agreement

Signature*

SCHOLARSHIP AGREEMENT FOR ALL SCHOLARSHIPS ADMINISTERED BY KEYS TO KINDNESS. I. Acceptance of Scholarship The scholarship awarded to you through Keys To Kindness has been authorized by the Foundation’s board of directors. The purpose of the award is to help finance tuition, fees, books, and supplies required for study at a tax-exempt institution. Awards used for other than non-taxable expenses must be reported as income on your tax returns, and it is your responsibility to report any tax liability. This Scholarship is subject to your acceptance of the terms described herein. To accept the award and receive the funds authorized, read the terms and if you accept these terms, complete the information requested and check the Consent “I agree to the SCHOLARSHIP AGREEMENT." and then sign. II. Terms: A. All scholarship awards are made in accordance with current and applicable laws and pursuant to the Internal Revenue Service Code and regulations as amended. B. Prior to payment of the scholarship award, the recipient must be accepted and enrolled in a College or Trade School.

Emma Booth Kind Ambassador Scholarship Application

Scholarship Applicant Information

Parent or Guardian Information

Additional Information

References

Agreement

Thank you kindly!

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