Joi's Angels Community Service Scholarship Application Form

Youth Community Service

Scholarship Application Form
I. Personal Data:

Tell us about yourself
Full Name*

First NameLast Name
Birthdate:*

MonthDayYear
Mobile No. :*

Area CodePhone Number
E-mail :*
Where the confirmation will be send to
Home Address :*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Optional Informations : Information regarding gender, ethnic origin and race are optional. The information is requested for post-scholarship report generation only and in no way affects your selection for college scholarship awards. However, providing this information may increase your opportunities for scholarships where donors have asked that priority consideration be given to students meeting certain demographic criteria (such as minority status, parent's place of employment, area of study, etc.)
Gender:

MaleFemale
Are you a US citizen?

YesNo
Ethnic Origin:

HispanicNon-HispanicNot Indicated
Race? (Choose one or more):

WhiteBlack or African AmericanAsianAmerican Indian or Alaskan Native Hawaiian or Other Pacific IslanderNon-Resident Alien
Are you a first generation college student ?

Yes, I am the first among my parents or grandparents to attend college.No, either my parents or grandparents have attended college.
Do you have a disability?

YesNo
Were you born outside the USA?

YesNo
If so, what country?
Were your parents born outside the USA?

YesNo
If so, what country?
II. High School Information:
High School Attended:
Year of High School Graduation or GED:
Most recent cumulative GPA:
School activities, honors, offices held, etc.:
Community activities, volunteer work, honors, offices held:
What is your Career Objective:

0/300
Will you be working while attending college?*

YesNo
If so, will you work:

Full-timePart-time
What college will you attend?
VII. Essay
What does the Joi's Angels mission statement mean to you? How will you embody that mission in college and beyond? (300 - 500 words)
Essay:

0/500
VIII. 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:*
Should be Empty:

Youth Community Service

I. Personal Data:

II. High School Information:

VII. Essay

VIII. Applicant's E-Signature