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2025 BVG Scholarship Renewal
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All requested information MUST be furnished completely. Failure to supply any part of the requested information
voids
the application from consideration. Applications and other required information
must be submitted no later than midnight, May 31, 2025
.
I. Applicant's Information
Name
*
First
Middle
Last
Address
*
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Best Contact Phone #
*
Applicant's Email
*
Email
Confirm Email
Date of Birth
*
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YYYY
2026
2025
2024
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Alternate Contact Information
Name
*
First
Last
Address
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Home/Cell Phone
*
Work Phone
Email
*
Email
Confirm Email
II. Education & Training (List last or current college term)
Year?
*
2025
2025
2024
2023
2022
2021
What Term?
*
Major?
*
Minor?
*
GPA?
*
What college or university do you plan on attending this coming year?
*
III. College Activities
List them below. If you have none, enter 'None'.
Honors and Awards
*
Offices held in class or college clubs, organizations, etc.
*
List each, a description, and number of months/years of involvement.
Other college activities:
*
List each, a description, and number of months/years of involvement.
IV. Non-school Activities
List them below. If you have none, enter 'None'.
Non-school activities
*
(i.e. volunteerism, music study, church activities, sports, hobbies, etc.)
V. Supporting Information
Attach a complete transcript:
*
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.
Include photograph of applicant.
*
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
Please list in twenty-five words or less your 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.
Do you understand and agree to the terms listed above?
*
Yes, I understand and agree to the terms listed above.
Applicant's Signature
*
Clear Signature
Submit Application