Takuzo Ishida Memorial Scholarship Application Form
Please fill out the form below.
In addition, please also send the following materials to jasm@mn-japan.org or to the JASM office: Takuzo Ishida Memorial Scholarship Program, Japan America Society of Minnesota, P.O. Box 26639 Minneapolis, MN 55426

1. Essay. (Must be typed and no more than 500 words.)
    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?
2. Two letters of recommendation (see the letter of recommendation guidelines on the JASM website)
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
P.O. Box 26639 Minneapolis, MN 55426

The selection committee will review all applications and select finalists for interviews: in-person or online. Applicants unable to participate in the interview process may be disqualified by the selection committee.

Please note:  
Applicants must be U.S. citizens or Lawful Permanent Resident currently enrolled at a Minnesota high school. The awardees will be asked to provide a written report on their experience while in Japan upon completion of their program and to make a personal appearance at a Japan America Society of Minnesota function during the semester after their travel is completed. Scholarship awards are generally not considered taxable income if used for tuition, books, or other similar educational expenses. Award recipients should consult with a tax advisor to understand their potential tax liability.

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First Name *
Last Name *
Permanent Address *
Phone Number *
Permanent E-mail Address *
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 *
High School Address *
High School's Phone Number *
Community/School organization activites
Leadership experience
Program the applicant plans to attend in Japan *
Name and title/position of references 1 *
Name and title/position of references 2 *
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