Apply for Support – The Jackson Foundation

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TD-STEM RPCC Scholarship Application Form

The Jackson Foundation TD-STEM RPCC Scholarship was established in 2023 to honor the legacy of Robert “Bob” Jackson, Sr, his long-term career in the Petro-Chem industry and service to the community in which he lived. The scholarship provides financial assistance to students in the Geismar/Gonzales Community whose lives are directly impacted by living in close proximity to the chemical industry.

Read and follow the instructions carefully prior to submitting your application. All winners will be notified at the close of the application period.

Consent to Instructions(Required)

I have read and understand the instructions.

If selected, you will be asked for documentation to support the data you provide. Likewise, all correspondence and award agreements will be generated from the personal information submitted below. So, please use proper spelling, capitalization and punctuation.

I. Personal Data

Tell us how to identify you and how to contact you.

Full Name(Required)

Prefix First Middle Last Suffix

Birth Date(Required)

MM slash DD slash YYYY

Mobile Phone(Required)

Email(Required)

Enter Email Confirm Email

Home Address(Required)

Street Address Address Line 2 City State ZIP Code

Optional Information

Information regarding gender, ethnic origin and race are optional. The information is requested for post-scholarship report generation only and in no way affects your selection for scholarship awards. However, providing this information may increase your opportunities for scholarships where donors have asked that priority consideration be given to students meeting certain demographic criteria (such as minority status, parent's place of employment, area of study, etc.)

Gender

Male

Female

Other

Are you a U.S. Citizen?(Required)

Yes

Please check your veteran status.

Veteran

Spouse of a Veteran

Child of a Veteran

Grandchild of a Veteran

None of the Above

Check all that apply.

Please select your status at the time of this application.

I will graduate in May of 2027

I will be an incoming freshman graduating high school in 2024

I have attending college but have less than 32 college credit hours

I have attended college and have earned at 32 credit hours or more

I am a GED graduate with no college credit hours

Are you a first generation college student?

Yes, I am the first among my parents and grandparents to attend college

No, either my parents or grandparents attended college

Major Area of Study(Required)

Please indicate your major area of study

II. High School Information

Many high school graduates are eligible for consideration for summer scholarships in addition to fall-spring awards. Accepting a summer award obligates you to attend in the following fall and spring.

Are you or will you be a May 2024 high school graduate?

Yes

High School Attended

Year of Graduation

Please enter a number from 2023 to 2199.

Most Recent Cumulative GPA

Please enter a number from 1 to 4.

High School activities, community activities, volunteer work, honors, offices held

III. Additional Qualifying Information

The Jackson Foundation administers many scholarships designed to offer aid to students that represent unique characteristics. Please check each of the qualifiers below that apply to you. This data may increase your likelihood of qualifying for selected scholarships. Please note, if you are awarded a scholarship based on any of these qualifiers, you will be asked to produce documentation verifying your unique eligibility.

Have you ever received a scholarship from The Jackson Foundation?

Yes

Do you plan to complete your two-year degree with your current institution?

Yes

Do you plan to transfer to another college and complete a 4-year degree?

Yes

Do you have a disability?

Yes

In addition to a scholarship, would you like to be considered for co-op opportunities (working part-time for tuition support with company relevant to your major)?

Yes

Will you be working while attending school?

Yes

Please check if you or any of your family work for any of the following organizations

BASF

Methanex

Rubicon

Shell Chemical

IV. Essay

Your essay should be 300-500 words. You should address in your essay: your career or college goals and choice of major, what you intend to do with your education, and why a scholarship is important to you. Include any academic and non-academic accomplishments, personal characteristics, or experiences that make you uniquely worthy of consideration.

Essay

Comments

This field is for validation purposes and should be left unchanged.

CHARITY | FAITH | LABOR

Contact Info

TD-STEM Scholarship Application