The Joel Spishak Education Fund Application Form

The Joel Spishak Education Fund Application Form

The Joel Spishak Education Fund is a scholarship program designed to support Deaf students who are Michigan residents and are currently enrolled or planning to enroll in an accredited college or university in the USA. The scholarship aims to honor the memory of Joel Michael Spishak and promote higher education among Deaf students.
Name

First NameLast Name
Email
example@example.com
Date of Birth

MonthDayYear
Date
Phone Number
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Educational Information
Name of High School Attended
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Year Graduated
Latest GPA Scale
Date Expected to Graduate

MonthDayYear
Date
Academic awards and/or honors you received in High School
Are you a member of any organization in your school? Please provide information
If you have a GED Certificate for High School Equivalency, please provide the information below:
Date received GED Certification

MonthDayYear
Date
Upload here your GED information

Browse Files

Cancelof
Where are you currently attending or planning to attend your educational institution?
Please provide any academic achievements or awards you have received in College (if there is any)

Provide proof of residency in Michigan, such as a driver's license or state ID card.

Browse Files

Cancelof
Provide proof of Deafness or hearing loss, such as a doctor's note or audiology report.

Browse Files

Cancelof
Submit an official transcript from high school or college.

Browse Files

Cancelof
Submit a personal statement explaining their academic and career goals, as well as any relevant experiences and accomplishments.

Browse Files
Your essay should be 300-500 words. You should address in your essay: your college goals and choice of major, what you intend to do with your education, and why a scholarship is important to you. Include any academic and non-academic accomplishments, personal characteristics, or experiences that make you uniquely worthy of scholarship consideration. Cancelof
Submit at least one letter of recommendation from teachers, advisors, or other professionals.

Browse Files

Cancelof

Financial Information
Are you a dependent of your Parents?

YesNo
Your Family's Joint Annual Income
Are you working? If yes, please provide details below
Have you tried applying for scholarships with other organizations previously?

YesNo
Any information that might support your answer above
Have you tried applying for financial aid?

YesNo
Any information that might support your answer above

I CERTIFY THAT ALL STATEMENTS OR INFORMATION I HAVE PROVIDED ABOVE ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. ANY DELIBERATE MISREPRESENTATION FOUND IN THIS APPLICATION MAY BE CAUSE FOR THE APPROVAL OF THIS APPLICATION AND MAY PROHIBIT ME FROM APPLYING AGAIN IN THE FUTURE.
Applicant's Signature

Powered by Jotform Sign Clear
Name of Applicant

First NameLast Name
Date Signed by Applicant

MonthDayYear
Date
Should be Empty: