JSS Scholarship Application

Name:

Address:

Phone:

Email:

Name of Institution Currently Enrolled In:

State Institution is Located In:

Education Level:

Undergraduate Graduate

Degree Sought:

Academic Status:

Number of Credit Hours Completed:

Number of Credit Hours Remaining:

Cumulative GPA:

Expected Graduation Date:

Background Info:
Please list any relevant academic activities, community service, extracurricular activities, honors and awards, or work experience that you wish to acknowledge.

Reference Contact Name:

Reference Contact Email:

Reference Contact Phone:

Essay:
Please provide one short essay in response to the following questions: 1) What contributions have you made towards community service for the betterment of others? 2) Why do you feel community service is important and how can your involvement positively impact others as well as your own life goals?

Unofficial School Transcripts:
Please provide a copy of your unofficial school transcripts, listing classes completed and grades.

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