Jaycees Scholarship Application

Applicants must attend a community college, trade/technical school, or cosmetology school in the following counties: Wood, Ritchie, Roane, Tyler, Wirt, Pleasants, Jackson Counties in West Virginia or Washington County in Ohio. Applicants of all ages (traditional high school students and non-traditional adult students) are considered for scholarships. Mark Not Applicable (N/A) if the question is not appropriate for your application.

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Name *
Date of Birth *
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Home/Cell Phone *
Non-school Email Address *
Mailing Address (Street, City, State, Zip) *
Veteran/Active Military *
Do you currently have a job? *
Earning/Earned High School Diploma from:
Graduation Date (Or expected date)
Cumulative High School GPA Senior Year
Earned GED from:
GED Earned Date
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DD
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Which College/Institution do you plan to attend? *
Have you already been accepted to the school you plan to attend? *
While attending school, where you will live? *
My current higher education goal is: (Please tell us your area of study and certificate/degree you plan to earn) *
If you participate, or have participated in community service activities (e.g. school/club/church/etc), please list below:
*

Would you like to stay in our local community after finishing your education? Why or why not?

 *
Tell us how you will be able to use your desired trade or education to make a positive impact in the local community.
 *
How will this scholarship be impactful in your life?
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Submit
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