Jolie Femmes SCHOLARSHIP APPLICATION

First Name/ Last Name______

Home Address______

City/State______

Current Grade Point Average______Graduation Date (Expected)______

What college(s) or university (ies) have you applied to and been accepted?

______

______

College/University you plan to attend______

______

Parent or Guardian______

Father’s Occupation______

Mother’s Occupation______

Annual Family Income______Number of Dependent Children in the Family______

Reference: Provide names and telephone numbers of three (3) people who know you well. Ex. Teacher, counselor, etc. 1. ______

2. ______

3. ______

On the back, or an attached page, please write a short essay stating why you think you deserve this scholarship. Essay must not exceed one page.

Also, attach a copy of your latest SAT or ACT test scores.

Return completed application to your school counselor by the specified date.