Silver Scholarship Application

The Friends of the Jamestown Seniors (FOJS) Silver Scholarship is for FOJS members who would like to develop new skills, enhance their education or profession, or learn about a new field of interest or hobby.

Name(Required)

First Last

Address

Street Address Address Line 2 City State ZIP Code

Phone

Email(Required)

Are you a member of the Friends of Jamestown Seniors?(Required)

Yes

Course you wish to take?

Place and dates it is being offered?

Price of course?

may include transportation expense

At time of award, verification of course and cost must be provided.

Statement explaining how this course will benefit you or your community

500 words or less

Applicant Signature

Date

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