James Brown Family Foundation Scholarship Application Form

Scholarship Application Form
I. Personal Data

Tell us about yourself
Full Name*

First NameLast Name
Birthdate*

MonthDayYear
Mobile No*
Format: (000) 000-0000.
Email Address *
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Yes, I am the first among my parents or grandparents to attend college.No, I am not, either my parents or grandparents have attended college.
Major Area of Study
Please indicate what is your major area of study.
What are your career objectives?

0/300
High School Attended
Year of High School Graduation
Most Recent Cumulative GPA
High School Activities, Community Activities, Volunteer Work, Honors, Offices Held
II. ACT | SAT Information
ACT | SAT composite (overall) score?
III. Extras
YesNo
YesNo
YesNo
What is the name of the college you are planning to attend or have an acceptance letter from?
IV. Essay

Each essay should be at least 300 words.
How has James Brown's impact on the entertainment industry still influences music and culture in the world today?
Essay*

0/500
Please submit a 60 second video on what the lyrics for the song titled, "Don't Be A Dropout" mean to you today as you prepare for graduation.
File Upload*

Cancelof
V. Applicant's E-Signature
By signing 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.
Signature

Clear
On behalf of the James Brown Family Foundation, we are committed to equal opportunity in awarding scholarships. We do not discriminate in any program or activity on the basis of race, color, religion, gender, age, national origin, disability, marital status, or any other protected class.
Should be Empty:

Scholarship Application Form

I. Personal Data

II. ACT | SAT Information

III. Extras

IV. Essay

V. Applicant's E-Signature