www.JupiterFarmsResidents.

com Email:
JFResidents@AOL.com

PMB 104, 10152 W. Indiantown Road, Jupiter Farms, FL 33478

Phone and Fax 561-746-0394

Jupiter Farms Residents, Inc. is a civic organization serving those residing in Jupiter Farms. As a
liaison between governmental agencies and the community, JFR strives to keep the Farms residents
informed of issues that affect the Farms, to protect the rural lifestyle the residents enjoy, and to give
feedback to the County and other government entities. JFR supports the programs of Jupiter Farms
Community Elementary School and other community organizations, sponsors community and family
outings, and funds scholarships for Jupiter Farms seniors through its annual Christmas tree sale. See
the JFR website: JupiterFarmsResidents.com.

JUPITER FARMS RESIDENTS

SECONDARY EDUCATIONAL SCHOLARSHIP APPLICATION
FOR STUDENTS RESIDING IN JUPITER FARMS, FLORIDA

Application must be completed in full (all sections). Additional sheets (same size) may be
submitted for completion of answers.

I. PERSONAL INFORMATION

NAME OF APPLICANT________________________________________________________

DATE OF BIRTH ________ TELEPHONE ___________ EMAIL _____________________

HOME ADDRESS
___________________________________________________________________________

FATHER’S NAME ____________________________ OCCUPATION___________________

Place of Employment:__________________________________________________________

MOTHER’S NAME ___________________________ OCCUPATION __________________

Place of Employment:__________________________________________________________

NUMBER OF BROTHERS & SISTERS AT HOME ___________________________________

NUMBER OF OLDER BROTHERS OR SISTERS IN COLLEGE _______________________

CURRENTLY EMPLOYED? _____ WHERE? _____________________________________

HOW LONG HAVE YOU BEEN A RESIDENT OF JUPITER FARMS? ___________________
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II. SCHOLASTIC ACHIEVEMENTS

NAME OF HIGH SCHOOL________________________ GRADUATION DATE___________

CURRENT G.P.A ________ CUMULATIVE G.P.A. __________ RANK IN CLASS _______

NUMBER IN THE SENIOR CLASS _______ ACT SCORE _______ SAT SCORE ________

COLLEGE OR TRADE SCHOOL YOU PLAN TO ATTEND

___________________________________________________________________________

HAVE YOU BEEN ACCEPTED? ______ WAITING ADMISSION DECISION?_____________

CURRICULUM CHOSEN (planned major)

___________________________________________________________________________

III. FUTURE PLANS

WHAT ARE YOUR FUTURE PLANS AFTER GRADUATING FROM COLLEGE?

___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________

IV. AWARDS (Scholastic and Extracurricular)

___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________

V. EXTRACURRICULAR ACTIVITIES
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
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6. HOBBIES AND INTERESTS
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________

VII. COMMUNITY VOLUNTEER SERVICE AND ACTIVITIES:

Note: Please list each activity and hours performed
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________

VIII. FINANCIAL ASSESSMENT / PERSONAL REFERENCES

HOW HAVE YOU AND YOUR PARENTS PREPARED FOR ANTICIPATED COLLEGE
COSTS? (please explain)_______________________________________________________
___________________________________________________________________________
___________________________________________________________________________

PART/FULL TIME JOBS? ________ WHERE?_____________________________________

HOW LONG? ________________________________________________________________
___________________________________________________________________________

HAVE YOU APPLIED FOR OR BEEN GRANTED:

OTHER SCHOLARSHIPS?_________________ GOVERNMENT LOAN?_______________

FINANCIAL AID___________ IF SO, GIVE DETAILS ________________________________

___________________________________________________________________________
___________________________________________________________________________

LIST THE NAMES AND TELEPHONE NUMBERS OF PERSONAL REFERENCES THAT THE
SCHOLARSHIP COMMITTEE MAY CONTACT. (Other than teachers and relatives)
1. ________________________________________________________________________
2. ________________________________________________________________________
3. ________________________________________________________________________
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IX. ESSAYS
(Please attach your essays on separate sheets - same size paper)

A. SCHOLARSHIP NEED/USE
Write a short essay ( Maximum of 250 words) explaining your need for this scholarship and
how this scholarship will assist you in achieving your academic goals.

B. PERSONAL STATEMENT
This personal statement helps us become acquainted with you as an individual in ways
different from your academic achievements. Please choose from one of the three options
listed below and write an essay
( 250 - 500 words) on one of the topics.

Note: the best essays are not necessarily the longest ones!

1. Evaluate a significant experience or achievement that has special meaning to you.

2. Discuss some issue of personal, local, national, or international concern and its
importance to you.
3. Indicate a person who has had a significant influence on you, and describe that
influence.

SIGNATURE OF APPLICANT ___________________________________________________

SIGNATURE OF PARENT OR GUARDIAN ________________________________________

ADDRESS IF DIFFERENT THAN YOURS_________________________________________

___________________________________________________________________________

DATE: ____________________________

DEADLINE: ALL APPLICATIONS MUST BE RECEIVED BY APRIL 15TH !!

(Late or incomplete applications will not be considered)

MAIL APPLICATION TO: Jupiter Farms Residents, Inc.

 Scholarship Committee
PMB 104
10152 W. Indiantown Road
Jupiter Farms, FL 33478

JFRScholarship2010