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Scholarships
Frank Jones Memorial Scholarship
The Frank Jones Memorial Scholarship Application
The Frank Jones Memorial Scholarship Application
Date
(Required)
MM slash DD slash YYYY
Applicant's Name
(Required)
First
Middle
Last
Age
(Required)
Date of Birth
(Required)
MM slash DD slash YYYY
Gender
(Required)
Male
Female
Address
(Required)
Street Address
City
State / Province / Region
ZIP / Postal Code
Home Phone
(Required)
Cell Phone
(Required)
Email Address (Student)
(Required)
Are you a member of The Greater Piney Grove Baptist Church?
(Required)
Yes
No
If yes, how long have you been a member?
Membership Number
Name of High School Attended
(Required)
GPA
(Required)
SAT/ACT Test Scores
(Required)
Graduation Date
(Required)
MM slash DD slash YYYY
Honors, Awards and Academic Achievements
(Required)
Parent/Guardian Name
Parent/Guardian Telephone Number
Email Address (Parent/Guardian)
FUTURE EDUCATIONAL PLANS
Name of College to Attend
(Required)
Course of Study
(Required)
What type of higher educational program are you planning to pursue?
(Required)
2/4 Year College or University
Technical College
Vocational School
Have you been accepted?
(Required)
Yes (If yes, please submit a copy of your acceptance letter
No
Will you attend school full time?
(Required)
Yes
No
Have you completed your FAFSA (Free Application for Student Aid)
(Required)
Yes
No
Have you applied for any other Scholarships or Grants?
(Required)
Yes
No
Have you been awarded any other Scholarships or Grants?
(Required)
Yes
No
Personal Reference(s) with Contact Information (Teacher, Counselor, or Advisor and their best contact number). Minimum of one is required.
Are you interested in applying for the William E. Flippin, Sr. Leadership Award?
(Required)
Yes (If so, please complete the William E. Flipping award application)
No
Upload Documents
Drop files here or
Select files
Accepted file types: jpg, png, pdf, Max. file size: 50 MB.
Disclaimer: By signing below I give permission to the Frank Jones Memorial Scholarship Commission, Inc. to use my name and picture in any printed or video materials they may use for marketing promotions by the Commission.
Applicant’s Signature
(Required)
Parent/Guardian Signature
(Required)
Thank You,
FJMS Commission
CAPTCHA
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