James Jacoppi Scholarship Application

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James Jacoppi Memorial Scholarship Foundation
Applications Due by March 1st, 2023
Scholarship Application Form

Name:_____________________________________

Address:_____________________________________City:___________________ State:______ Zip Code:__________

EDUCATIONAL PLANS:

What school are you planning to attend?________________________________________________________

What is your intended major?__________________________________________________________________

FAMILY DATA:

Number of siblings in college in Fall 2023 (undergraduates)____________

Are you employed? ________   Where?_________________________________ # of Years?__________

If you have any special considerations you would like the committee to be aware of , please attach a separate letter labeled "Confidential Information".

Applicant's Signature:_____________________________________________          Date: ___________________

Parent/Guardian's Signature:_________________________________________        Date: ___________________

Please return: 1) Signed Application (2 pages, see page 2 below)
                          2) Letter of Introduction.
                          3) Letter of Recommendation.

No Later than March 1st, 2023
To:
James Jacoppi Memorial Scholarship Fund
c/o Mr. & Mrs. J. Jacoppi
PO BOX 542
Tyngsboro, MA 01879

High School & Community Activities (use space below or include a resume):

	Freshman	Sophmore	Junior	Senior
Student Government
National Honor Society
Class Office
Peer Leadership
Band
Awards
Sports
Other School or Out of School Activities