2021-22 BVG Scholarship Renewal
All requested information MUST be furnished completely. Failure to supply any part of the requested information voids application from consideration. Applications and other required information must be submitted no later than midnight, May 31, 2021.

I. Applicant's Information

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Alternate Contact Information

II. Education & Training (List last or current college term)

III. College Activities

List them below. If you have none, enter 'None'.
List each, a description, and number of months/years of involvement.
List each, a description, and number of months/years of involvement.

IV. Non-school Activities

List them below. If you have none, enter 'None'.
(i.e. volunteerism, music study, church activities, sports, hobbies, etc.)

V. Supporting Information

Click or drag files to this area to upload. You can upload up to 3 files.
A complete transcript, including the spring semester, of applicant’s college work must accompany the application form. If a complete transcript is not submitted, the application will not be reviewed. NOTE: If school uses a pass/fail system, grade evaluation is required.
Click or drag a file to this area to upload.
A recent black & white photo of the applicant for publicity purposes. Must be head and shoulder at least 2” x 2 1/2”.

VI. Career Goals

VII. Certification

I hereby make application for a J100 Scholarship Renewal award and submit the contained information to assist the Scholarship Committee in evaluating my candidacy and certify that:

1. All the information submitted in this application is true and correct;

2. I will use any funds received from the J100 only for the propose of paying related expenses for my college education;

3. I will notify the J100 immediately if there should be any interruption in my plans for continuing my education this coming year.