2026_Scholarship_Application

Robert V. Jurasek / Bobby G. Jones Memorial Scholarship

The Robert V. Jurasek / Bobby G. Jones Memorial Scholarship is named in honor of two of our members who epitomize the hard work and dedication that our brothers and sisters display daily in the work of the ATS. We honor these outstanding individuals by donating a scholarship to a deserving graduate each year. It is our hope that their legacy will live on as we help others achieve their education goals.

This one-time $1,500 scholarship is awarded each year to a deserving high school senior who is the legal child or step-child of any member in good standing of Local 463 of the International Association of the Machinists Union.

A Scholarship Selection Committee arranged by the Scholarship Committee Chairperson from “Hercules” Local 463, screens the applications and makes a recommendation to the Lodge’s Executive Board. The winner will be notified in writing or by phone by the Scholarship Committee Chairperson and informed when the scholarship presentation will be made. The scholarship is typically awarded to the recipient at the June general membership meeting. The scholarship check will be made out to the applicant and may be used .

All materials of the application packet should be emailed in accordance to the guidelines outlined in the "Additional Information Required" section of this application. Mailed or hand-delivered materials should be sealed and delivered to the Scholarship Committee Chairperson. Applications must be turned in no later than May 31 of the current year.

Any questions should be directed to the Scholarship Committee Chairperson, or any Local 463 Officer.

Note: Once you start this application, you must finish; you cannot save your entries and come back later to complete the form. It is suggested that you initially read through the entire form and then have all your information readily available to enter before beginning.

Full Name:*

Last name, First name. Middle Initial

Birthdate*

Date

Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Primary Phone Number*

Area CodePhone Number

Email*

example@example.com

Please indicate which family member is a Member of IAM Local 463.*

FatherStep-FatherMotherStep-Mother

Please provide the name of your family member that is a Member of IAM Local 463:*

Which company does this individual work for?*

High School Attended as a Senior:*

City & State:

Did you graduate?*

YESNO

Cumulative GPA at graduation:*

Did you take the ACT exam?*

YESNO

ACT Cumulative Score:

Did you take the SAT exam?*

YESNO

SAT Cumulative Score:

Please list the School or Civic (e.g. church, community) Organization in which you participated in during your Sophomore, Junior and/or Senior year(s). You can then list the name of the club, sport, or activity in which you participated. You will have the opportunity to list up to 6.

School/Organization Name:

City & State:

Club/Activity/Sport:

Years Participated (Check all that apply)

SophomoreJuniorSenior

Did you hold an elected office/position in this organization during any of your participation?

YESNO

What was your office/position?

Anything you would like to share about your participation? (what you did, enjoyed most, etc.)

Would you like to enter another Extra-curricular Activity?

YES, PLEASENO, I'M DONE

(2) School/Organization Name:

(2) City & State:

(2) Club/Activity/Sport:

(2) Years Participated (Check all that apply)

SophomoreJuniorSenior

(2) Did you hold an elected office/position in this organization during any of your participation?

YESNO

(2) What was your office/position?

(2) Anything you would like to share about your participation? (what you did, enjoyed most, etc.)

(2) Would you like to enter another Extra-curricular Activity?

YES, PLEASENO, I'M DONE

(3) School/Organization Name:

(3) City & State:

(3) Club/Activity/Sport:

(3) Years Participated (Check all that apply)

SophomoreJuniorSenior

(3) Did you hold an elected office/position in this organization during any of your participation?

YESNO

(3) What was your office/position?

(3) Anything you would like to share about your participation? (what you did, enjoyed most, etc.)

(3) Would you like to enter another Extra-curricular Activity?

YES, PLEASENO, I'M DONE

(4) School/Organization Name:

(4) City & State:

(4) Club/Activity/Sport:

(4) Years Participated (Check all that apply)

SophomoreJuniorSenior

(4) Did you hold an elected office/position in this organization during any of your participation?

YESNO

(4) What was your office/position?

(4) Anything you would like to share about your participation? (what you did, enjoyed most, etc.)

(4) Would you like to enter another Extra-curricular Activity?

YES, PLEASENO, I'M DONE

(5) School/Organization Name:

(5) City & State:

(5) Club/Activity/Sport:

(5) Years Participated (Check all that apply)

SophomoreJuniorSenior

(5) Did you hold an elected office/position in this organization during any of your participation?

YESNO

(5) What was your office/position?

(5) Anything you would like to share about your participation? (what you did, enjoyed most, etc.)

(5) Would you like to enter another Extra-curricular Activity?

YES, PLEASENO, I'M DONE

(6) School/Organization Name:

(6) City & State:

(6) Club/Activity/Sport:

(6) Years Participated (Check all that apply)

SophomoreJuniorSenior

(6) Did you hold an elected office/position in this organization during any of your participation?

YESNO

(6) What was your office/position?

(6) Anything you would like to share about your participation? (what you did, enjoyed most, etc.)

List any employment including summer jobs, after-school jobs, internships, and as-needed basis work such as baby- sitting, etc. You may also include volunteer work if it wasn’t included in the Extra-curricular activities section. You may enter up to 6 entries.

Company/Organization:

City & State:

Position (or what you did):

List Dates of Employment (Month/Year to Month/Year)

Average Hours worked per week:

Enter Additional Employment?

YESNO

(2) Company/Organization:

(2) City & State:

(2) Position (or what you did):

(2) List Dates of Employment (Month/Year to Month/Year)

(2) Average Hours worked per week:

(2) Enter Additional Employment?

YESNO

(3) Company/Organization:

(3) City & State:

(3) Position (or what you did):

(3) List Dates of Employment (Month/Year to Month/Year)

(3) Average Hours worked per week:

(3) Enter Additional Employment?

YESNO

(4) Company/Organization:

(4) City & State:

(4) Position (or what you did):

(4) List Dates of Employment (Month/Year to Month/Year)

(4) Average Hours worked per week:

(4) Enter Additional Employment?

YESNO

(5) Company/Organization:

(5) City & State:

(5) Position (or what you did):

(5) List Dates of Employment (Month/Year to Month/Year)

(5) Average Hours worked per week:

(5) Enter Additional Employment?

YESNO

(6) Company/Organization:

(6) City & State:

(6) Position (or what you did):

(6) List Dates of Employment (Month/Year to Month/Year)

(6) Average Hours worked per week:

Please list all relevant honors and awards you have received from schools, community organizations, athletic programs, etc. This can include scholarships received, special recognitions in Who’s Who or your school yearbook, etc.

Honors and Awards

Please list the college, fine arts institute or vocational/technical school to which you plan to attend:

Institution Name:*

Location of Institution (City and State):

Please check the following that applies to the post-secondary institution you named above:*

I have applied and been accepted.I have applied and am awaiting notification of acceptance.I have not yet applied, but plan to.

Do you plan to:

Attend classes/training in person on-site or on-campusAttend classes/training virtually online

The following additional information is required for your application to be considered complete.

1. School transcript(s) that includes the last semester completed (senior year), cumulative GPA and class standing.

*This school transcript may be delivered electronically directly from the high school from which the applicant graduated.

Transcript must be emailed directly from the applicant’s high school. No transcripts received from a Gmail, Hotmail, Yahoo or other personal email domain will be accepted.
Transcripts need to be emailed to: IAMAW463communicator@gmail.com
Email Subject Line should read: “Transcript for Scholarship Applicant {applicant’s name}”

2. Two referral letters (one of which must be a teacher from your high school

*These referral letters may be in the of of an email or as an email attachment. Please have teachers email from their official school email accounts.

Referral letters need to be emailed to: IAMAW463communicator@gmail.com
Email Subject Line should read: “Referral for Scholarship Applicant {applicant’s name}”

3. A letter (typed) stating what this scholarship will mean to you.

(Be creative, be honest, and help the Scholarship Selection Committee understand why they should choose YOU as the recipient.)

*This letter may be in the body of an email or email attachment.

Letters need to be emailed to: IAMAW463communicator@gmail.com
Email Subject Line should read: “Personal Statement for Scholarship Applicant {applicant’s name}”

I understand the eligibility requirements for selection and awarding of this scholarship. I also certify that all information and answers I provided in this application are true and correct to the best of my knowledge. If selected as the recipient of this award, I grant the IAM Local 463 permission to publish my name and photo on the Local's public website in recognition of my achievement

Signature*

You may use your finger or stylus to sign.

Date:

Date

Once you hit SUMBIT, your application above will be emailed to the Scholarship Selection Committee. An Application Packet will be started for you, however, the Application Packet will not be considered COMPLETE until the Additional Required Information (Transcript, Reference Letters, Personal Statement) are also received. Please don't forget to submit these items before the deadline.

Thank you and best of luck to you!

Local #463 Little Rock AFB, AR

International Association of Machinists and Aerospace Workers Union Local Lodge 463

Scholarship Application

Applicant Information

Education

Extra-Curricular Activities

Previous Employment

Honors and Awards

Future Post-Secondary Education

Additional Information Required

Signature and Certification