Cassidy Hess Memorial Scholarship
Sponsored by: the Cassidy Joined for Hope Foundation
Deadline: April 26, 2024
STUDENT INFORMATION
Student's Full Name
*
First Name
Last Name
Student Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Afghanistan
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Liberia
Libya
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Luxembourg
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Malawi
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Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
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Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
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Slovakia
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Solomon Islands
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South Africa
South Ossetia
South Sudan
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Sri Lanka
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eSwatini
Sweden
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Syria
Taiwan
Tajikistan
Tanzania
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Timor-Leste
Togo
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Tunisia
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Uruguay
Uzbekistan
Vanuatu
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Venezuela
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British Virgin Islands
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US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
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Other
Student Phone Number
*
Student E-mail
*
example@example.com
HIGH SCHOOL INFORMATION
School Name
*
Graduation Date
*
-
Month
-
Day
Year
Date
Senior Awards Night Date
*
-
Month
-
Day
Year
Date
School's College/ Career Counselor's Name
*
College/ Career Counselor's Email
*
example@example.com
JOINED FOR HOPE CLUB INFORMATION
Joined for Hope Club Name
*
Club Sponsor
*
Club Sponsor email
*
example@example.com
Positions/ Committees held in club (include years held)
*
SCHOOL/ COMMUNITY ACTIVITIES
List all School and Community Activities - Include years and positions held
HONORS/ AWARDS
List all School and Community Honors and Awards - include year awarded
COLLEGE INFORMATION
Intended College
*
Intended Major of Study
*
REFERENCES
Submit one letter of recommendation from the Joined for Hope Club Sponsor, teacher, or community leader
Letter of Recommendation
*
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STUDENT ESSAY
Submit an essay (approx. 500 words) explaining the importance of teen suicide prevention and the roles you have taken to spread the awareness through your school and/ or community
Type essay here
*
ADDITIONAL INFORMATION
Include any additional information about yourself that you want to include in this application
Thank you for your submittal of the Cassidy Hess Memorial Scholarship.
"You are doing BETTER than you think you are ... and God is doing MORE than you think He is" ~ Cassidy Jade Hess
Signature
*
Submission Date
*
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Month
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Day
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