Student Application - MJS Achievement Foundation

Basic Information

Name(Required)

First Last

Birth Date(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone(Required)

E-Mail(Required)

Please provide an email that will be active after graduation.

College Information

Please list the schools you are interested in attending and applying to. If you have already been accepted, please enter that school as the first university in the field below.

University / School 1

University / School 2

Do you need assistance applying?

Yes

No

Major(s) You Are Considering

Major 1

Major 2

Student Turnaround Detail

Use this space to elaborate on your turnaround in high school. Completion of this section is mandatory in order to receive your scholarship.

What challenge(s) did you face while in high school?(Required)

What did you do to overcome these challenges?(Required)

What are you most proud of?(Required)

Who was your support and guided you in overcoming these challenges? What did they do to help you?(Required)

What is one thing you would share with your peers who might be in a similar situation that would help them not give up?(Required)

What are your plans for post-secondary education and beyond (career)?(Required)