THE JESSIE BANKS FOUNDATION SENIOR SCHOLAR APPLICATION

IMPORTANT: This application must be completed in its entirety before closing out. If you do not complete the application in one sitting this program will not save your information!

IMPORTANT: Remember to follow all the guidelines and US Mail your Official School transcript to The Jessie Banks Foundation at 650 Palisade Ave, Suite 2-127, Englewood Cliffs, NJ, 07632

IMPORTANT: Two (2) Letters of Recommendation:

One from a School Official: Principal, Guidance Counselor, Teacher, or College Instructor
One from a Supervisor from your Community Service and/or your Volunteer Work experience

IMPORTANT: ALL SCHOLARSHIPS/TUITION ASSITANCE PAYMENTS ARE ISSUED AFTER THE NOVEMBER'S SCHOLARSHIP AWARDS GALA.

IMPORTANT: ALL SELECTED SCHOLARS MUST BE PRESENT AT THE AWARDS GALA IN ORDER TO RECIEVE THEIR SCHOLARSHIP.

IMPORTANT: ALL SCHOLARS ARE RESPONSIBLE FOR ALL REQUESTED INFORMATION ON THE APPLICATION AND SCHOLAR AGREEMENT.

IMPORTANT: Remember to read, check and sign the Senior Scholar Agreement (seperate form HERE).

APPLICATION DEADLINE

Completed online application and all required documents must be submitted no later than

FRIDAY, APRIL 25, 2025

Student Information

First Name *

MI

Last Name *

Date of Birth * +

Address 1 *

Address 2

City *

State *

Postal Code *

Email Address

Home Phone:

Cell Phone:

Race/Ethnicity *

Residence Status *

US Citizen

US Permanent Resident

Mother's Name

Mother's Cell:

Mother's Email:

Father's Name:

Father's Cell:

Father's Email:

Academic Records

High School/ College or University *

School Phone:

Address 1 *

City *

State *

Principal/College Advisor's Name *

Guidance Counselor/ Advisor's Name: *

How Did You Learn About the Scholarship? *

Cumulative GPA *

ACT Score

SAT Score

Please list your major High School/College courses. *

Please list any Honors, or Awards received in High School/College: *

Please list any Extracurricular Activities:

Please list Community Service Activities:

Indicate your career goals:

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List Colleges to which you are applying to. Indicate acceptance, by an asterisk: *

Submission Items

Please Attach Academic Resume Here

Headshot Photograph *

SAT and/or ACT scores

Please attach two (2) letters of recommendation:

Essay

An essay of approximately 750 words selected from one of the following topics:

1. Describe a historical, or current event. Discuss the valuable lessons learned and the impact and inspirations that you have ascertain from the event.

2. Describe a meaningful experience, or person that has had a profound impact on your life and how it has affected you.

3. What are your career goals and why?

Applicant & Parent/Guardian Approval

I understand that ALL communication will be directly between the Jessie Banks Foundation's representative and the JBF Scholar, not Parent/Guardian.

Parent/Guardian Signitare *

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Student Signature *

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