Brian Jordan Foundation

EIN: 52-2091069

Brian Jordan Foundation Scholarship Guidelines and Application

The Brian Jordan Foundation Scholarship benefits economically challenged youth by awarding scholarships to students in need of finances to assist in furthering their education.
The nature of the scholarship (gift) is to assist students who are financially underprivileged with college tuition of$1,250 per recipient for Four Years.

The criteria used for selecting recipients are as follows:

  • A high school senior, accepted to a four year accredited college or university
  • A high school senior who has spent atleast 2 years involved in school music, arts, or athletic programs
  • Maintained an overall 2.7 grade point average throughout high school
  • An essay on why they should become the recipient of the Brian JordanFoundation Scholarship, with a minimum of 250 words
  • Three letters of reference, from non-relatives
  • Financial information for need determination

Consideration that will aid the decision:

  • Leadership skills inside and outside of school
  • Academic club(s) membership
  • Social, religious organization(s) membership
  • Band, sports, etc… (extra curricula activity involvement)
  • Job(s) / Work experience

Requirements to Maintain the BJF Scholarship:

  • Recipients must be enrolled in college each August 31st
  • Recipients must have a grade point average of 2.5
  • Recipients must provide foundation with semester schedule & transcript
  • Recipients must participate in at least one BJF Event throughout the year

If the recipient fails to maintain the 2.5 grade point average by August 31 each year, then the scholarship will be suspended until requirements are met.

SUBMISSION DEADLINE: Postmark by May 4, 2015

SUBMIT TO: The Brian Jordan Foundation Inc.
P.O. Box 1376

Buford, GA 30515
Tel: (678) 804-9562
email:

The application must be typed or neatly written in black ink. Do not staple the application. All application materials must be sent together as a single packet (other than letters of reference). Incomplete applications will NOT be considered!

I. Personal Information

Name:

LastFirstMiddle

Permanent Address:

Street or PO BoxCityState Zip Code

What County/State do you live in?

Social Security Number: / / Date of Birth: / / Sex:  Male ٱ Female

Home Telephone Number: ( ) - Alt. Telephone Number: ( ) -____ Email Address: ______

II.High School information

Name of high school currently attending:

List honors/Advanced Placement Courses taken (i.e. English II Honors):

III.College Information

Name of School in which you plan to enroll or are currently enrolled:

Name of College City/StateDate Attended GPA Year Graduated

Have you been accepted?  Yes  No What is your intended major field of study?

What college level will you enter in the fall  Freshman  Sophomore  Junior  Senior  Other (specify)

IV. References (3 letters of recommendation are needed)

Letter of Recommendation: One letter is required from a current teacher, a school counselor and a community service leader. To Evaluator: Please write a one page description of the applicant’s character, school and community leadership abilities, potential to succeed, and evidence of the student’s strengths and weaknesses. Be sure to include the student’s name, your relationship to the applicant and the length of time you have been acquainted. Parents and immediate family members are NOT eligible to write the recommendations.

V. Essay

Essay: Type a Single Page Original Essay. The essay may only be one page in length (minimum 250 words). Highlight areas, such as, your academic, extra-curricular, and community service accomplishments, and any part-time jobs, travel or hobbies that may relate to your career goals. Also, state how a scholarship will aid you with these goals.

VI. Activities

High School
Extracurricular Activities / Participation by Year
Fr So Jr Sr / Positions Held –Identify Participant or Leadership Level or Position
Work Experience / Dates of Employment / Position Held

***Do Not attach additional resumes, lists, etc. ***

VII. Grade Certification Form

Student’s Name:

School Name:

At the close of the most recent semester, the applicant ranked in a class of .

At the close of the most recent semester, the applicant’s cumulative GPA was on a scale of 4.0.

The GPA is  Weighted  Non Weighted

SAT Scores:ACT Scores:

Verbal:English:

Math:Math:

Critical Reading: Reading:

Science Reasoning:

Composite:

Person completing this form: ______Title:

(Please Print)

Signature: Date: / /

DO NOT SEND THIS INFORMATION SEPARATELY!

To Be Completed By Student

CERTIFICATION

I certify that all the information on these forms is true and correct to the best of my (our) knowledge. The Essay is my own work. If asked by any authorized representative of the Brian Jordan Foundation, I (we) agree to give documentation for information given on this form. I (we) realize that failure to comply with a request for further information may prevent the applicant from receiving any aid.

Applicant Signature Date

Parent (Spouse) Signature Date

VIII. Financial Information

All students are to submit (1) a copy of the approved Federal Student Aid Financial Report Information Summary showing your Social Security Number and EFC (estimated family contribution) and (2) complete the following two pages and attach the family’s most recently completed IRS form 1040. All financial information will be held in the strictest confidence.

  1. Anticipated educational expenses and income for upcoming year:

ExpensesIncome

Tuition Scholarships/Grants

Rm & boardLoans

BooksAid from Family

SuppliesStudent Contribution

OtherOther

TOTALTOTAL

  1. Explain any special considerations regarding your financial need for scholarship support:

Income and Asset Data

Are you a dependent student:  Yes No

-if you answer “yes” to the above, the information listed below should include your parent’s financial information. If you answer “no”, the information listed below should pertain only to the financial situation of you and your spouse (if applicable). Figures should be taken from your most recent U.S. Income Tax Return.

1. Adjusted Gross Income$

2. Total U.S. Income Tax Paid$

3. Income earned from work by

Father (self)$

Mother (spouse)$

4. Medical/Dental expenses not covered by insurance$

5. Cash, savings, stocks, bonds, CD’s, etc.$

6. Net value of real estate holdings not used as primary

Residence (market value less balance of mortgage)$

  1. Total number of exemptions

Additional Information

  1. If you are a dependent student, please answer the following:

Parent’s current marital status

 single  married  separated  divorced  widowed

Total number of family members who will be attending college or post-graduate schools at least half-time during the upcoming academic year

2. If you are an independent student, please answer the following:

Your current marital status

 single  married  separated  divorced  widowed

I hereby affirm that the foregoing answers and statement are true and correct, and that I have not withheld any information that could, if disclosed, affect this application unfavorably. I understand that the financial aid information will be considered confidential.

Applicant’s signatureDate

1