Big Island Press Club Scholarship Foundation
2023 Scholarship Entry Form
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Birthplace (City, State)
High School & High School City / State
Year of High School Graduation
College or University You Are Attending
Have you declared a major / minor area of study?
Yes
No
If you declared a Major/Minor, what is your area of study? If none, simply write "none."
What are your career plans in Journalism, Media, or a related career? (300 words maximum)
Please provide the name(s), address(es), and occupations of your parent(s)/guardian(s):
Please provide a current reference (that is NOT a relative) that is aware of your plans for a career in Journalism or related field; include their name, position, address, contact phone and/or email:
Please provide a SECOND current reference (that is NOT a relative) that is aware of your plans for a career in Journalism or related field; include their name, position, address, contact phone and/or email:
Please provide a THIRD current reference (that is NOT a relative) that is aware of your plans for a career in Journalism or related field; include their name, position, address, contact phone and/or email:
Will you agree to send us the additional required materials by April 20, 2022 to the DropBox link mentioned on our Scholarship page?
Yes
No
Please "sign" this application, stating that everything you've said or will send to us via DropBox is true and accurate to the best of your knowledge.
Please type in today's date.
-
Month
-
Day
Year
Date
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