2021 JWG Scholarship for Biology and Molecular Biology Application

Due date: Monday, February 1, 2021

Personal Information
Name*
First Name Middle Last Name
Address
Street Address Address Line 2 City State ZIP Code
Cell Phone
Email
Career Information
Name of College Currently Attending
Cumulative Grade Point Average
What is your declared college major?
What is your intended career?
Work Experience
Work Experience
Name of Business Dates (from/to) Average hours per month Positions / Responsibilties

Please list any work experience over the past 3 years.
Research, internships, awards & honors
Research or internships
Name of Organization or Department Dates (from/to) Average hours per month Activities / Positions / Areas of Study

Please list any relevant experiences within the last 3 years.
Honors and Award Achievements

Please list any honors or awards you have received in the past 3 years.
Personal Statement
Educational & Career Goals
In the space below, please describe your educational experience and career goals. (500 word maximum)
Statement of Financial Need
Statement of Financial Need
In the space below, please describe your financial need and how this scholarship would help you meet academic goals. (300 word maximum)
Student Signature
My signature serves as permission for the Coastal Community Foundation to publish my name and photos in the event I receive a scholarship. Furthermore, I agree to release and hold harmless the Foundation.
Date
MM slash DD slash YYYY
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Name of Business	Dates (from/to)	Average hours per month	Positions / Responsibilties

Name of Organization or Department	Dates (from/to)	Average hours per month	Activities / Positions / Areas of Study

Personal Information