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Community Mentorship Application
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Please complete the following form to apply for our Community Mentorship Program. Applicants must be high school seniors who are Hallandale Beach residents and/or attend Hallandale High School. Applications must be received by 11:59 p.m. on February 28, 2018.
Where do you attend high school?
Hallandale High School
Other High School
Expected graduation date
Current (cumulative) GPA
Please list any extracurricular activities that you are or have recently been involved with (sports, volunteering, youth groups, etc.)
Please provide the name and contact information of your high school guidance counselor.
Are you currently employed?
Supervisor's Name and Title
Supervisor's Phone Number
How long have you worked there?
Please provide a brief (500 word) narrative describing why you should be selected for Community Mentorship Scholarship. Be sure to include any information that may assist the selection committee with its decision.
How will receiving this scholarship affect your life?
Please provide 2 personal references. Include contact information (phone number and/or email), how they know you, and how long they have known you.
How did you hear about the program?
Social Media (Facebook, Twitter, etc.)
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