Professional Documents
Culture Documents
Scholarship Application
Email: aimirsjacksonville@gmail.com
Phone: 321-441-2533
If scholarship is awarded, applicant must submit proof of registration no later than August 30 th. Failure to submit the required
documents timely will cause forfeiture of scholarship.
STIPULATIONS FOR SCHOLARSHIP
The scholarship is to be used for tuition and books only.
The Board reserves the right to approve or disapprove any request for scholarship assistance.
APPLICATION CHECKLIST
APPLICATION
MOST RECENT OFFICIAL TRANSCRIPT FROM HIGH SCHOOL
RETURN APPLICATION BY APRIL 30, 2016 TO:
AIM-IRS JACKSONVILLE
ATTN: SCHOLARSHIPS
Post Office Box 948301
Maitland, FL 32751
*HANDWRITTEN APPLICATIONS WILL NOT BE ACCEPTED
Date:
NAME:
(Last)
(First)
(Middle )
SOCIAL SECURITY #:
(Optional)
Mailing Address:
Telephone:
Email address:
Date of Birth:
College/University:
(Name)
(Address)
2-Year College
4-Year College
Vocational/Technical
Yes
No
GPA __________
Address
Telephone
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CERTIFICATION:
I Certify that all statements made on this application are true and complete to the best of my knowledge and belief. Falsification of information will result in denial of consideration.
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Applicants Signature
______________________________________
Parents Signature
____________________
Date
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Date