Application Info Form

The James “Jimmy Mac” McMahan Scholarship

This Applicant Information Form MUST be received by Midnight, March 7, 2025
Applicant Name*

First NameMiddle NameLast Name
RECOMMENDATION LETTER CONTACT INFO (two letters required):*
POST-SECONDARY SCHOOL DATA:*
Type of School:
Admission Status:
APPLICANT PERSONAL CONTACT INFO:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
By submitting this application, I certify that the information provided is complete and accurate to the best of my knowledge. Falsification of information may result in termination of any scholarship awarded. I also certify that I have read the instructions and will comply with all requests for documentation, notification of other scholarship awards, and/or change of post-secondary school plans. I also acknowledge the Foundation Scholarship Review Committee will not consider incomplete or late applications and I accept the responsibility of ensuring all documents are received by the deadline.
Signature:*

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The James “Jimmy Mac” McMahan Scholarship