JIM Scholarship Form

C/O Lynnfield Scholarship Foundation
2025 APPLICATION

IT IS IMPORTANT TO FILL THIS APPLICATION OUT AS COMPLETELY AND ACCURATELY AS POSSIBLE. THE CRITERIA FOR THIS AWARD IS BASED ON ACADEMIC AND ATHLETIC EXCELLENCE.
ABOUT THE SCHOLARSHIP

The Jim Iacono Memorial Scholarship Fund was set up by Jim’s family to honor his memory by assisting a graduating Lynnfield High School student athlete who exemplifies the same outstanding leadership, kindness, integrity, character and athletic qualities as Jim so his light may shine forever. This one-time $3000 award will go to a LHS graduate who has earned a varsity letter in one or more teams and who demonstrates leadership and integrity and maintains at least a 3.0 GPA.
Please Read Before Proceeding:

All information provided to the committee will be strictly confidential.

All applications, must be accompanied by the following:

- (1) letter of recommendation from a teacher

- (1) letter of recommendation from a coach

- A Copy of your high school transcript

- A 250-words or less essay about who has been a role model/inspiration to you in your life and why.

- Proof of athletic achievement

Application and all attachments must be returned by Thursday, April 10th, 2025 through one of the following methods:

- Submit Here, through the Links Provided Below

- Print and Bring to the LHS School guidance office c/o Susan Corcoran

- US Mail mail to the Fund chairperson: Jill Iacono Mavro, 44 Wedgemere Ave. Winchester, MA 01890
Student Name

First NameLast Name
Student Email
example@example.com
Student Phone Number
Please enter a valid phone number.
Student Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student Parents/Guardian
Date of Graduation

MonthDayYear
Date
Cumulative GPA
Please List Your Top Colleges Applied to; Indicate with (*) Those to Which You are Accepted.
Please Tell us About Your Athletic Career Highlights:
Please Provide the Name of a Teacher that is Providing Your Personal Recommendation that will Accompany this Application.

First NameLast Name
Teachers Email:
example@example.com
Teachers Phone Number
Please enter a valid phone number.
Please ATTACH your teachers personal recommendation here:

If You are not .
Cancelof
Please Provide the Name of the Coach that is Providing Your Personal Recommendation that will Accompany this Application.

First NameLast Name
Coaches email
example@example.com
Coaches phone number
Please enter a valid phone number.
Please ATTACH your coaches personal recommendation here:

If You are not .
Cancelof
Please tell us which profession/career or major you wish to pursue in College?
Please tell us about your work experience:
Please list any extra-curricular activities including awards/honors received while in High School.
Please ATTACH ESSAY Here. In 250 words or less, please tell us who has been a role model/inspiration to you in your life and why.

If You are not .
Cancelof
Please ATTACH proof of your Athletic Achievement Here

If You are not .
Cancelof
Application and all attachments must be returned by Thursday, April 10th, 2025 through one of the following methods:

- Submit Here, through the Links Provided

- Print and Bring to the LHS School guidance office c/o Susan Corcoran

- US Mail mail to the Fund chairperson: Jill Iacono Mavro, 44 Wedgemere Ave. Winchester, MA 01890
Signature

Powered by Jotform SignClear
The Jim Iacono Memorial Scholarship Fund

jimsfund.com
Submissions are encrypted with high-grade RSA 2048 then transferred and stored securely on our servers which are protected by 256 bit SSL (Secure Socket Layer) connection that uses a SHA256 Certificate.
Should be Empty:

C/O Lynnfield Scholarship Foundation

2025 APPLICATION

ABOUT THE SCHOLARSHIP

The Jim Iacono Memorial Scholarship Fund