2024 Jack Twine Memorial Scholarship Application  
This scholarship is for graduating high school seniors residing in the 23324 zip code.

The following information is required by May 24, 2024 to process your application for a scholarship from the Jack Twine Memorial Scholarship Foundation and the South Norfolk Civic League:

• A letter from one teacher as a reference,
• A letter from one personal reference not related to you,
• Transcript of grades to support grade average,
• Statement in 100 words or less on why you want to attend college,
• Written permission from your parents or legal guardians to apply for this scholarship,
• Your completed online application.

To qualify, complete this online application and send (in one package) to SNCL one of two ways:

1. Email documents in PDF format to southnorfolkcivicleague@gmail.com
2. Hand-deliver to a Scholarship Committee member or mail to the Civic League at the address below**.

Application documents must arrive in one package by May 24, 2024.

Applicants must live in the 23324 zip code and provide ALL documents to qualify.

South Norfolk Civic League
P O Box 5508
Chesapeake, VA 23324

(**Note: while the Civic League will accept documents via US Mail, please understand that the post office is unreliable and documents must be received prior to the deadline for consideration. Documents postmarked on or after the May 24, 2024 deadline may not be considered.)


Funds awarded in this scholarship will be paid directly to the college or university that the recipients will be attending.


כדי לשמור את הטיוטה אפשר להיכנס לחשבון Google. מידע נוסף
אימייל *
Applicant's full name *
Address, City, State, Zip *
Birthdate *
MM
/
DD
/
YYYY
Phone *
What is your graduating GPA? (You will need to provide transcripts). *
Have you applied for admission to an accredited institution of higher education? *
If yes, please list schools where you have applied. Put "none" if you have not applied anywhere. *
Have you been accepted to any schools?   *
If you have been accepted, please list school(s). *
List Academic Honors you have received since the 9th grade. Please list title and date of Honors. *
List extracurricular activities and offices held since 9th Grade: *
List summer activities, including jobs, during the past three summers: *
List community activities in which you have been involved: *
List youth organization memberships you have held in the last three years. *
Names of parent(s) or legal guardian(s): *
Applicant and Parents/Guardians listed above have reviewed this online form and all approve its submission to the SNCL Scholarship Committee. All give permission for graduate's scholarship application. Parent/Guardians and will provide a permission letter for applicant's document package. *
Check each required document you have. *
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