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TD-STEM Scholarship Application

Use this form to apply to receive funding through The Jackson Foundation Trade Discipline and STEM education initiatives.

Step 1 of 4

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.

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)
MM slash DD slash YYYY
Home Address(Required)
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.)


Are you a U.S. Citizen?(Required)
Please check your veteran status.
Check all that apply.
Please select your status at the time of this application.
Are you a first generation college student?
Please indicate your major area of study