Main Scholarship Form | Greater Jefferson County Foundation

Thank you for applying for a Scholarship from The Greater Jefferson County Foundation.

Please have the following information ready and available of the beginning of your application process.

Transcript
Letter of recommendation
Address/contact information of your college, university or trade school
Your EFC number - this can be found on your FAFSA.
Line 8b on your parent's adjusted gross income where you are listed as a dependent

Please fill-in your Major/Minor area of study. Please check appropriate boxes relating to the criteria specific to your area of study.

All financial information is held in strictest confidence and viewed only by the Foundation's Scholarship Selection Committee.

Email gicf0758@windstream.net with any questions (put "I Have A Question" in the subject line) or call 641-472-0758.

Deadline for the application is February 1st, 2024 at 4:00 PM CST.

These scholarships are for the first year of college only and will not be carried over to another year. Renewable Scholarships, Teacher Scholarships, and the Crafton PAST Graduate Scholarships are the exceptions.

Major Area of Study *

Minor Area of Study *

Pork Production

Are you or a relative in Pork Production? *

Name of Relative in Pork Production (Relative Must Be in Pork Production)

Include their first and last name

Relation to the Applicant?

Military Service

Do you have a relative with a Military Service Background?

Name of Relative with Military Service Background.

Include their first and last name

Relation to the Applicant?

Branch of Service

Years Served

Education

Year of High School Graduation *

School Graduated *

Fairfield High School
Pekin High School

What college/university/trade school do you plan to attend? *

College ID, if known

College/University/Trade School Address *

Applicant Info

First Name *

Middle Name

Last Name *

Date of Birth *

Mailing Address *

City *

State *

Zip *

Student Cell Phone *

Home or Personal Email *

Do NOT use a high school email.

College Information

What degree do you intend to earn and what career do you plan to pursue with the degree? *

In what way will this scholarship enable you to pursue your education beyond high school? *

List ALL loans, grants, and financial assistance for which you have applied. *

Awards, special recognition & honors: list all awards, honors, and special recognition you have received in high school, college, university, trade school, or the community in the past four (4) years. Please list in decreasing order of significance and include the year(s) it was received. *

School-sponsored and/or extracurricular activities: list high school, college, university, trade school-sponsored activities, such as student government, sports, publications, or school-sponsored community service programs. Include the year(s) in which you participated in the activity. *

Community service and volunteer: list community service and community activities. These might include church activities, advocacy activities, or community service not sponsored through your school. List in decreasing order of significance and include year(s) in which you participated in the activity. *

Work experience: list jobs and/or work experiences from the past 4 years with the most recent experience first (include job shadow and internship experiences). *

Compose a personal statement about your personal history, perspectives, goals, and interests. This should also include:

Why did you choose this area of study (specify ie: music, medicine, etc) and what are your career goals? How will this play a part in your life after college?

What sets you apart from the other applicants?

How do you plan to make a difference in today's world?

Personal Statement/Essay *

Financial Need Assessment

Failure to properly complete this section may jeopardize consideration of this application. All information is held in strictest confidence and will be seen only by the selection committee.

Full cost of tuition, room, and board for one year. *

Estimated Family Contribution *

The estimated family contribution (EFC) can be found on your confirmation page after you have completed and submitted the free application for student aid (FAFSA).

Personal contribution from job, work study, etc. for this academic year. *

Line 8b on your (parent's) Adjusted Gross Income of the tax return on which you are listed as: Dependent or Taxpayer.

Adjusted Gross Income *

Do you have any unusual circumstances that impact your financial need? *

Attach Letter of Recommendation *

Drop your file here or click here to upload

Must be in PDF, Microsoft Excel or Microsoft Word Document format. SCREENSHOTS WILL NOT BE ACCEPTED! If you choose save and continue below, you will need to reattach this document.

Who is doing your letter of recommendation?

What is their relationship to the student?

High School Transcript/Diploma: Please attach an unofficial High School Transcript or Diploma *

Drop your file here or click here to upload

Must be in PDF, Microsoft Excel or Microsoft Word Document format. SCREENSHOTS WILL NOT BE ACCEPTED! If you choose save and continue below, you will need to reattach this document.

By checking the box below, you acknowledge that all of the statements and representations in the scholarship application are true and made for the purpose of obtaining a scholarship. Greater Jefferson County Foundation is authorized by you to obtain information about you as a scholarship applicant, consistent with your privacy rights and the foundation scholarship procedures. *

I have read the above, understand the same, and consent thereto. I also confirm that everything included in this scholarship application is true and accurate to the best of my ability.

First Name *

Last Name *

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