DEADLINE FOR SUBMISSION: MARCH 15, 2019 AT 6:00 PM EST (NO EXCEPTIONS)

THE JAMES A. GREENLEAF MEMORIAL SCHOLARSHIP IS ENTIRELY ELECTRONIC AND FILLED OUT ON LINE ONLY. PAPER COPIES OF ANY REQUIRED MATERIALS TO COMPLETE THE SCHOLARSHIP REQUIREMENTS WILL NOT BE ACCEPTED UNDER ANY CIRCUMSTANCES.

IMPORTANT: Applicants must submit a complete application with all required documentation to the Scholarship Committee by the due date in order to be considered for an award. The James A. Greenleaf, Jr Memorial Scholarship Fund, Inc. reserves the right to award scholarships based on the academic performance, community service and the quality of the application. The James A. Greenleaf, Jr. Memorial Scholarship Fund, Inc also reserves the right to not make an award at the sole and absolute discretion of the Scholarship Committee. Please make sure that you read these instructions very carefully. By submitting your application for The James A. Greenleaf, Jr Memorial Scholarship Fund, Inc. you and your legal guardians agree to hold The James A. Greenleaf, Jr. Memorial Scholarship Fund harmless from any liability associated with the award process. If you have any questions or concerns regarding this process, please contact David Loane via email in the 'Contact Us' section at the top of this page.

NOTE: The responsibility to ensure that ALL of the required material is attached to this form and electronically sent BEFORE the closing date of the scholarship remains the sole responsibility of the applicant and their parents/guardians.

PERSONAL IDENTIFYING INFORMATION:

Please complete all required information.

* Fields not required.

Student’s Full Name
Email Address
Current Phone
Date of Birth		Birth City	Birth State === Select One === AK AL AS AZ AR CA CO CT DE DC FM FL GA GU HI ID IL IN IA KS KY LA ME MH MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND MP OH OK OR PW PA PR RI SC SD TN TX UT VT VI VA WA WV WI WY
Street Address
	City	State	Zip Code
		=== Select One === AK AL AS AZ AR CA CO CT DE DC FM FL GA GU HI ID IL IN IA KS KY LA ME MH MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND MP OH OK OR PW PA PR RI SC SD TN TX UT VT VI VA WA WV WI WY

SCHOOLS ATTENDED 1ST THROUGH 8TH GRADE:

Please complete all required information.

NOTE: Failure to follow the instructions or incomplete information could result in loss of points in your overall evaluation and/or rejection of application.

Name of School		Date of Entrance		Period Attended		Add | Delete
Name of School		Date of Entrance		Period Attended		Add | Delete

Date of Graduation:
Father’s Name		Occupation
Mother’s Name		Occupation
Brothers/Sisters [names and ages]:
Family members attending college:

List Academic Honors and Awards:

List Athletic Honors and Awards:

List Activities [School & Community]

Hobbies/Special Interests:

Transcripts:

Attach a copy of your most recent transcript and your latest report card. We will accept a photocopy that bears the original signature of the proper school authority.

NOTE: Failure to follow the instructions or submit a transcript and report card could result in loss of points in your overall evaluation and/or rejection of application.

Upload File

ESSAY:

Please limit your essay to 500 words or less and attach your essay using Word Documents.
Your essay should explain your reasons for choosing Saint Bernard High School and articulate why you think you should be eligible to receive the James A. Greenleaf, Jr. Scholarship.


NOTE: Failure to follow the instructions or submit an essay could result in loss of points in your overall evaluation and/or rejection of application.

LETTERS OF RECOMMENDATIONS:

Please choose (2) two teachers to write recommendations and forward those recommendations to the Scholarship Committee including their name, email and all contact information. Let your teachers know in advance that they will be receiving an email from the scholarship committee and that the deadline for submission is imperative. It is the applicants responsibility to ensure that the teachers they have chosen submit all of the information required within the allotted time constraints.
The email that is generated to each reference requesting a reference form is specific to each person. Therefore, DIFFERENT emails should be inputted for each reference and they must go directly to the teacher's home or work email address and cannot be forwarded from anyone other than The Greenleaf Scholarship Review Board. The emails generated by our system should not be shared among references either.
In the event a reference did not receive their email that contains the reference link, please contact: jgreenleafmemorialfund@gmail.com and it can be forwarded to them directly from The Greenleaf Scholarship Review Board.

NOTE: Failure to receive both the recommendations and evaluation forms could result in loss of points in your overall evaluation and/or rejection of application.

Teacher's Name
Teacher's Email Address
Second Teacher's Name
Second Teacher's Email Address

SUBMIT:

Once you click submit, you may not go back to edit any information you provided. Please make sure all the information is correct before you do so. When you click submit, you will receive an email informing you that you have successfully submitted your scholarship application. Good luck!

Checklist:
1. Fill out and complete ALL sections of application.
2. Attach your essay explaining why you deserve the scholarship.
3. Choose two (2) teachers (using 2 different email addresses) to write recommendations to be sent to the Scholarship Committee within the time constraints.
4. Have those two (2) teachers complete evaluations forms to be sent to the Scholarship Committee within the time constraints.
5. Attach a copy of your latest transcript AND your latest report card.
6. Submit your portion of the Scholarship Form BEFORE the closing date for the scholarship.


By signing/dating and clicking submit, I hereby certify that all the provided information in this application is accurate to the best of my knowledge. I give my consent to the sponsoring organization considering this application to use my information for the purpose of scholarship consideration.

Student Signature		Date:
Parent/Guardian Signature		Date: