2024 Zach Jones Memorial Fund Scholarship Application

All applications require two references with letters of recommendation and official high school transcripts. You will be able to upload these items via the application below.

DEADLINE EXTENDED: May 1, 2024 at 11:59 p.m.

If you have any questions, please contact us.

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Applicant General Information

Legal Name *

First

Last

Address *

Address Line 1

Address Line 2

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Cell Phone *

Email *

Age *

Date of Birth *

Country of Citizenship *

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Parent and Legal Guardian Information

Parent or Legal Guardian 1

(1) Parent or Legal Guardian Name *

(1) Parent or Legal Guardian Address *

Address Line 1

Address Line 2

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Parent or Legal Guardian 2

(2) Parent or Legal Guardian Name

(2) Parent or Legal Guardian Address

Address Line 1

Address Line 2

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

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Adjectives and Attributes

What four adjectives have others used to describe you? *

What do you perceive as your four strongest attributes? *

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References and Letters of Recommendation

Reference 1

Reference 1 Name *

First

Last

Reference's Relationship to You *

Address *

Address Line 1

Address Line 2

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Reference 1 Phone *

Upload Letter of Recommendation 1 (Required) *

Click or drag a file to this area to upload.

Please upload the letter as a PDF.

Reference 2

Reference 2 Name *

First

Last

Reference's Relationship to You *

Address *

Address Line 1

Address Line 2

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Reference 2 Phone *

Upload Letter of Recommendation 2 (Required)

Click or drag a file to this area to upload.

Please upload the letter as a PDF.

Next

Employment History

List below full-time employment, summer employment, or other part-time employment, briefly explain duties and responsibilities (beginning with your most recent job). If part- time employment, indicate number of hours per week.

Employment History 1

Dates Employed *

Company or Organization *

Address *

Address Line 1

Address Line 2

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Supervisor Name *

Your Position or Title *

Your Duties *

Employment History 2

Dates Employed

Company or Organization

Address

Address Line 1

Address Line 2

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Supervisor Name

Your Position or Title

Your Duties

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Scholastic Information

What is your cumulative grade point average (GPA)? *

Upload an official transcript from the high school you are currently attending. *

Click or drag a file to this area to upload.

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Extracurricular Activities

In what extracurricular activities have you participated while attending high school? Indicate elected offices held, if any. Specify purpose of local organization.

Student activities (student government, Key Club, National Honor Society, etc.) *

If not applicable, please write N/A.

Community activities (Boy Scouts, Girl Scouts, etc.) *

If not applicable, please write N/A.

Athletics *

If not applicable, please write N/A. Participation in athletics is not required.

Other Activities *

If not applicable, please write N/A.

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Applicant Questions

Why are you interested in your career choice and what event, or series of events have led you to this decision? Where possible, explain how your previous work experiences will relate to your career. *

Maximum: 200 words.

What has been your most important extracurricular activity, your most important contribution to it, and what has your participation in it meant to you as an individual? *

Maximum: 200 words.

What college or vocational school do you plan to attend? If your final decision has not yet been made, indicate which schools you are considering, listing the most likely choice first and others in descending order. *

Maximum: 200 words.

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Describe how your work ethic, your academic endeavors, and your participation in athletics and/or Fine Arts have contributed to the development of your character, and how they will affect your future educational and career aspirations. *

Maximum: 500 words. Please use at least 250 words.

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Full Legal Name to Serve as a Your Affirmation of this Application *

First

Last

Checkboxes *

• I agree that the application and the attachments may be used for the purpose of evaluation and selection by the Scholarship Committee. I also state that all information enclosed is true and correct to the best of my knowledge. I understand false information is cause for disqualification.

Submit Application