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, June 2, 2023.
I. Applicant's Information
II. Family Information
III. Education & Training
IV. School Activities
List them below. If you have none, enter 'None'.
List all scholarships or grants received, grades 9-12.
List each, a description, and number of years of involvement.
List church participation, hobbies, special talents, community services, etc.
Other than 100 Black Men of Jacksonville, Inc., list other agencies and organizations + amounts.
V. Work Experience
List the job, your title, description, hours per week, and dates of employment.
VI. Parent's Confidential Declaration Of Financial Need
Must be accompanied by copy of current FAFSA EFC STATEMENT
A recent black & white photo of the applicant for publicity purposes. Must be head and shoulder at least 2” x 2 1/2”.
VII. Referral Letters (3 letters are required)
I hereby make application for one of the 100 Black Men of Jacksonville, Inc. scholarships and submit the above 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 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.