RKJ Scholarship Application Form

Scholarship Application Form

Application Deadline - March 15, 2024
If selected, you will be asked for documentation to support the data you provide. Likewise, all correspondences and award agreements will be generated from the personal information submitted below. Recipients will be announced on or before March 31, 2024.
Eligibility Criteria:
- Must be a high school senior or college student
- Must have a minimum 3.0 GPA
- Must be located in Indiana or Georgia
- Has lost an immediate family member to gun violence
I. Personal Data:
Full Name*

First NameLast Name
Birthdate:*

MonthDayYear
Mobile No. :*

Area CodePhone Number
E-mail :*
Where the confirmation should be sent
Home Address :*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Have you lost an immediate family member to gun violence?*

YesNo
Current grade level:*

High school SeniorFreshman (College)Sophomore (College)Junior (College)Senior (College)
Current GPA: *
II. Upload photo of yourself:
Browse Files

Cancelof
Do you give the RKJ Foundation permission to use photo, if you're selected as a recipient?*

YesNo
IV. Essay
Write a short essay that includes all of the following: Introduce yourself & what motivates you? How would this $500-$1,000 grant be a solution to your current problem. Be specific on how you would use the funds.
Essay:*
V. Applicant's E-Signature
By signing (typing your legal name) in the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.
E-Signature:*
Award decisions are made based on the availability of funds, number of applicants and overall rank of the students application. All applicants considered will be notified of the final decision by the organization via email on or before March 31,2024. For those selected, their award will transferred to their college of choice. If you have any further inquiries, please feel to email us at: therkjfoundation@gmail.com.
Should be Empty:

Scholarship Application Form

I. Personal Data:

II. Upload photo of yourself:

IV. Essay

V. Applicant's E-Signature