Takuzo Ishida Memorial Scholarship Application Form
Please fill out the form below and in addition, please also send the following materials to jasm@us-japan.org or to the JASM office: Takuzo Ishida Memorial Scholarship Program, Japan America Society of Minnesota, Riverplace EH-131, 43 Main Street SE, Minneapolis, MN 55414.


1. Essay.
Why do you want to study and travel in Japan? What is your primary purpose for going to Japan?
How do you intend to spend the scholarship award?
The essay must be typewritten, double-spaced, and no more than two pages in length (500 words).
2. Two letters of recommendation (see the letter of recommendation guidelines link on the JASM website for more details)
3. A copy of the letter of acceptance you received from your Japanese host institution or program director, such as your teacher.
4, Official transcript(s). You must have a cumulative GPA of 3.0 or higher to be eligible.
Request an official transcript to be sent from each high school you have attended to the following address: Takuzo Ishida Memorial Scholarship Program
Japan America Society of Minnesota
Riverplace EH-131
43 Main Street SE,
Minneapolis, MN 55414.
jasm@us-japan.org
First Name *
Your answer
Last Name *
Your answer
Permanent Address *
Your answer
Phone Number *
Your answer
Applicant's E-mail Address *
Your answer
Legal Status *
Applicants must be either a U.S. citizen or a Lawful Permanent Resident to qualify. Please also provide proof of your legal status with your application.
High School currently attending *
Your answer
High School Address *
Your answer
High School's Phone Number *
Your answer
Community/School organization activites
Your answer
Leadership experience
Your answer
Program the applicant plans to attend in Japan *
Your answer
Names and titles/positions of references *
Reference letters should be directly sent to JASM via email or mailed to the JASM office.
Your answer
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