JBF Senior Scholar Agreement 2025

Please carefully read, check and sign where indicated. It is the SCHOLAR's sole responsibility to submit all required documents within the appropriate time frame.

All Additional Documents can be mailed to:

650 Palisades Ave

Suite 2-127

Englewood Cliffs, NJ 07632

For questions Email:

scholarships@jessiebanksfoundation.org

* Scholar: A recipient of JBF Scholarship.

* Scholarship Award: Student MUST be present at Awards Gala

Student will be recognized & honored at the JBF Gala for their application year

* Award: Award will be paid directly to an accredited institution, on behalf of the full time enrolled Scholar, by The Jessie Banks Foundation.

* Award will be paid within (3) Academic Semesters from Scholar's acknowledgement at

JBF Gala.

* There will be a ONE time payment sent directly to the student's College/University

Bursar's Office

Please check each line and sign where indicated.

If I am selected as a JBF Scholar:

I understand that in order to receive my award, I must be PRESENT at the Scholarship Awards Gala on Friday, November 14, 2025 or forfeit the award.

I understand, there will be a ONE time payment sent directly to my College/University's Bursar's Office.

I give The Jessie Banks Foundation permission to use my name, photo and school information in Marketing Materials.

I agree to forward semester updates including employment, volunteer service, activities and achievements by way of email, letters and photos through Graduate School.

*I understand that in order for my Award to be tendered to the institution, in which I will matriculate, I AM RESPONSIBLE FOR SUBMITTING THE FOLLOWING SCHOOL OFFICIAL DOCUMENTATION TO THE JESSIE BANKS FOUNDATION!

* Proof of fulltime registration enrollment from Institution

*Bursar Bill indicating opening balance of $2,000.00 or greater for Academic Term submitted

*A Thank You card or professional letter from Scholar to The Jessie Banks Foundation, by US Mail

If I fail to submit required documentation for the award to JBF within the required time frame (Above see Award definition) nor participate in JBF's Education & Community Outreach Program, as outlined in the Jessie Banks Foundation bylaws, I understand that I will forfeit the Award.

I agree to attend one(1) JBF seminar

Signature of Student *

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Date * +

Signature of Parent *Parent signature required, if Scholar is under the age of 18

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