Jordan Alexander Cofield Scholarship Application

Jordan Alexander Cofield Scholarship Application (2023-2024)

Thank you for your interest in our scholarship. The information provided on this form will be used by the Jordan Alexander Cofield Scholarship Committee to select recipients for scholarships. It is important that you give complete details concerning your college/career plans, activities and financial information. All applications must be completed in entirety and submitted by Dec. 22nd annually for consideration. Must have at least 3.0 GPA, play at least 1 sport, and be attending an HBCU to qualify.
BASIC INFORMATION
Student's Full / Legal Name*

First NameLast Name
Student Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Student Phone Number*

Area CodePhone Number
Student E-mail*
example@example.com
Student Birth Date

MonthDayYear
Gender

Academics:(Must provide proof of GPA)
Academic GPA*
School(s) You Plan To Attend
School 1
School 2
Will Live
Major(s) You Are Considering

In order of preference, list the major(s) you are considering (Very important for scholarship eligibility).
Major 1
Major 2

PERSONAL DATA:
Ethnic Background (Check all that apply)

African/AmericanAsianAmerican IndianCaucasianHispanicOther
Disability
High School(s) Attended

REFERENCES:

Please list one educator and at least one community person who would recommend you for a scholarship.
Reference 1 Name (Position,Phone Number)
Reference 2 Name (Position,Phone Number)

SCHOOL / COMMUNITY ACTIVITIES / WORK / EXPERIENCE/SPORTS/AWARDS/ETC:

List name of club, etc. and years of participation. If you volunteered, list the name of organization and the number of hours, weeks and years that you volunteered. If you worked, list the company, hours per week and length of time. Attach an additional sheet or resume if necessary.
School Activities / Offices Held: (not sports)
Community Service / Volunteer Activities (outside of school)
Sports Participation
Will you be participating in a sport(s) this year?

YesNo
What Sport?
Travel Experience or Unusual Experiences (study abroad, etc.)
School / Community Awards and Honors 1 (no matter how small) CSF, GSE, National Honor Society, Girl/Boy Scouts, 4-H, Governor’s Scholar, etc.
EMPLOYMENT: List past and present work and length of time employed.

FINANCIALS:
Father/Stepfather/Guardian Name
Mother/Stepmother/Guardian Name
Number of dependents in home:
First generation to attend college?

YesNo
Father/Stepfather Annual Income :
Mother/Stepmother Annual Income :
Other income that can be used for educational purposes (inheritance, college funds, etc)-do not include home equity, IRA's or other retirement accounts (optional):
Other Income:
Other Income Amount:
Please explain any unusual circumstances such as, child-support ending, emergency expenses, medical bills, seasonal work, unemployment, etc.

SCHOLARSHIPS RECEIVED TO DATE
TOTAL AMOUNT OF SCHOLARSHIPS COLLECTIVELY:
STUDENT STATEMENT OF WHY YOU SHOULD RECEIVE THE JORDAN ALEXANDER COFIELD FOUNDATION SCHOLARSHIP:*
Should be Empty:

Jordan Alexander Cofield Scholarship Application (2023-2024)