Renewing College Student Application

Step 1 of 4

Renewing College Student Application for the 2021-2022 Academic Year
Name*
First M.I. Last
School ID*
Email Address:*
Date of Birth:*
MM
DD
YYYY
Sex
Permanent Address (no P.O. Box):*
Street Address Address Line 2 City State ZIP Code
Phone Number:*
Parent or Legal Guardian Name:*
First Last
Second Parent or Legal Guardian Name:*
First Last
Parent(s) or Legal Guardian(s) Address:*
Street Address Address Line 2 City State ZIP Code
Parent or Legal Guardian Phone Number:*
Second Parent or Legal Guardian Phone Number:
College you currently attend:*
Address of College:*
Street Address City State ZIP Code
Year/Class of:*
Major, Minor, Areas of Study:*
Cumulative Grade Point Average (on a 4.0 scale) covering every college semester, including the 2020-2021 First Semester:*
State the name of the college you will attend in the 2021-2022 academic year. If different than the college you now attend, please explain why you plan to change schools and list the college address.*
Total amount received from J.B.L. Scholarship Trust, Inc. to date:*
Number of academic years scholarship received:*
Please enter a number from 1 to 4.
Amount requested for the 2021-2022 academic year (our usual grant is less than $2,000):*
Please state below any special financial and/or other circumstances that should be considered by the Trustees in evaluating your request for a scholarship award.*

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FUNDING AND EXPENSES
Please provide the funding and expense data requested below. Use your best estimate for next year's funding and expenses if specifics are not yet known.
State the sources and amounts of your educational FUNDING for the Current Academic Year (2020-2021), as follows:
From your parent(s) or legal guardian(s):*
From your savings:*
From your earnings:*
From loans:*
Please list the name and address of each bank or foundation lender and the amount of each loan (type N/A if not applicable).*
From scholarship grants:*
Please state the name and address of each grantor and the amount of each grant (type N/A if not applicable).*
From other sources:
Please describe the "other" sources (type N/A if not applicable).
Total educational FUNDING for the current academic year (2020-2021):*
Total educational EXPENSES for the current academic year (2020-2021):*
If your educational funding and expenses for the current academic year are not within $500, explain how the difference was made up (type N/A if not applicable).*
State the sources and amounts of your estimated EXPENSES for the Next Academic Year (2021-2022) as follows:
Tuition:*
Room and Board:*
Books and Supplies:*
Fees:*
Transportation to and from School:*
Other expenses:*
Itemize other expenses below (type N/A if not applicable):*
TOTAL expected educational EXPENSES for the next academic year (2021-2022):*
State the sources and amounts of your educational FUNDING for the Next Academic Year (2021-2022) as follows:
From your parent(s) or legal guardian(s):*
From your savings:*
From your earnings:*
From loans:*
Please list the name and address of each bank or foundation lender and the amount of each loan (type N/A if not applicable):*
From scholarship grants:*
Please state the name and address of each grantor and the amount of each grant (type N/A if not applicable).*
From other sources:*
Please describe the other sources (type N/A if not applicable).
TOTAL educational FUNDING for the next academic year (2021-2022):*
If your estimated educational funding and expenses for the next academic year are not within $500 of each other, please explain how you plan to make up the difference in the space below (type N/A if not applicable).*

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Attachments
A current academic transcript covering every college semester, including the first semester of the 2020-2021 academic year:
Accepted file types: pdf, docx, doc.
A personal essay:
Accepted file types: pdf, docx, doc.
Essays should describe academic and personal goals, summer and/or any employment experience, and/or something about yourself.
If selected, may we use your essay for publication on the JBL website?*
- Yes
- No

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I hereby request a renewal from J.B.L. Scholarship Trust, Inc. for the 2021-2022 academic year in the amount of (our usual grant is less than $2,000):*
I certify that, to the best of my knowledge and belief, the information stated above is complete and accurate.*
Date*
Date Format: MM slash DD slash YYYY
Signature*
Please Note Carefully
Fill in your name, school ID and provide your signature where indicated on Part II of the application before submitting it to your school for completion. (Part II is available on the next page.) Parts I and II must be received at J.B.L. Scholarship Trust, Inc. by March 1, 2021.

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Renewing College Student
Application

Check the requirements before filling out this form.

Renewing College Student Application

Step 1 of 4

Renewing College Student Application for the 2021-2022 Academic Year

FUNDING AND EXPENSES

State the sources and amounts of your educational FUNDING for the Current Academic Year (2020-2021), as follows:

State the sources and amounts of your estimated EXPENSES for the Next Academic Year (2021-2022) as follows:

State the sources and amounts of your educational FUNDING for the Next Academic Year (2021-2022) as follows:

Attachments

Please Note Carefully

Ready to apply?

JBL

Renewing College StudentApplication

Check the requirements before filling out this form.

Renewing College Student Application

Step 1 of 4

Renewing College Student Application for the 2021-2022 Academic Year

FUNDING AND EXPENSES

State the sources and amounts of your educational FUNDING for the Current Academic Year (2020-2021), as follows:

State the sources and amounts of your estimated EXPENSES for the Next Academic Year (2021-2022) as follows:

State the sources and amounts of your educational FUNDING for the Next Academic Year (2021-2022) as follows:

Attachments

Please Note Carefully

Ready to apply?

JBL

Renewing College Student
Application