Name
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First Name
Last Name
Email
Phone
(###)
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GPA from last year (high school or college)
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High school name and address
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Complete college name and address
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Student ID Number
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Please indicate the grade or school year you will be entering this upcoming academic year.
List extracurricular activities such as clubs, sports, community service, volunteer work.
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Describe your educational goals, school choice, and career objectives in a brief essay. (150-200 words)
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Are you a first generation college student?
Detailed estimate of your college cost for 1 year including tuition, room and board, and supplies. Please explain how you anticipate paying for college costs including scholarships, loans, work plans and possible help from family.
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Who referred you to the RJB Foundation Scholarship (i.e. counselor, board of director member, teacher, friend)? Please specify person by name.
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