Raymond Foster Scholarship Application Form
Name
First Name
Last Name
Email
example@example.com
Phone Number
Format: (000) 000-0000.
Date of Birth
-
Month
-
Day
Year
Date
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Educational Information
Current School Institution Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Grade
Program of Study
Date Expected to Graduate
-
Month
-
Day
Year
Date
Date Enrolled
-
Month
-
Day
Year
Date
Upload Proof of Enrollment
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Community Involvement - Describe your involvement in community service, volunteering, or cultural activities.
(300 words max)
Organization Name
Supervisor or Reference
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Supporting Documents - Please upload Government-Issued Photo ID and Letter of Recommendation (encouraged).
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Acknowledgement & Consent:
I confirm that all information provided is accurate and truthful.
I consent to JerkFest Cares verifying the authenticity of my documents.
I understand that submission does not guarantee selection.
I consent to the use of my name and likeness if selected as a recipient.
Applicant's Signature
Name of Applicant
First Name
Last Name
Date Signed by Applicant
-
Month
-
Day
Year
Date
Submit
Submit
Should be Empty: