Official College JumpStart Scholarship Application

First Name

Last Name

Your Gender

Mailing Address


State of Residence

Zip code

Phone Number (used to contact you if you win.)

 )  - 

E-Mail Address

Student Status

High School Graduation Year

Your Birthday

General Educational Goals
Please select the area that best matches your goal for getting your degree.

Please select the college you attend or up to 4 colleges you are interested in attending.

GPA Range, If Known

Personal Statement

Please answer ONE of the following questions in 250 words or less.

(1) What are your educational goals?
(2) How will winning this scholarship help you attain your goals?
(3) Write about a time when "hard work" paid off.
(4) Describe your experience with community service and volunteering and how that has affected you and your outlook.

Your personal statement will be judged on its content not your writing style. Please focus on the substance of your answer. And remember the words of Thomas Jefferson who said, "The most valuable of all talents is that of never using two words when one will do." Good luck!

Certification: I certify that the information provided on this application is complete and correct to the best of my knowledge. I further certify that if I am chosen as a scholarship recipient, I will use the funds only for expenses related to my education in an institution of higher learning in the United States.