Tevin Jones Memorial Scholarship Application
Please complete and submit this portion of the application by March 4th. If you are selected as a finalist a member of the Beyond the Boroughs staff will contact you about sending supporting documents.
Student Information
First Name *
Last Name *
Middle Initial
Student's Gender *
Student Date of Birth *
Ex: 04/24/1992
Native Language (if other than English)
Ethnic/Racial Identity
Student Street Address *
Student Street Address Line 2
City *
State *
Zip Code *
Student Home Phone Number *
Student Cell Phone Number
Student Email Address *
Current School *
School Street Address *
School Street Address Line 2
City *
State *
Zip Code *
School Telephone Number *
Guidance Counselor or College Advisor Name
Please list names of colleges to which you have applied: *
Enter "n/a" if you are currently in college.
Please list the names of the colleges to which you have been accepted: *
Enter "n/a" If you are currently in college.
What is your first choice for college: *
Have you ever been discouraged from applying to college? *
Will you be the first person in your family to attend a college or university? *
Describe something you enjoy doing (could be inside or outside of school). Why do you like doing it? *
Please write 4-5 complete sentences
Why is going to college important to you? *
What responsibilities do you have in your home? *
Personal Essays
These essay questions are designed to help us get to know you as an individual. Please answer each of the questions.
1. Describe a community of which you are a part (your school, your neighborhood, your family, your church, an organization, etc.) and tell us why it is important to you.
2. Describe a time in your life (in school or out of school) when you found something challenging. How did you handle it? *
3. Tell us about yourself. Use your creativity. *
You can write poetry, math equations, a song, or whatever else shows us a little more about who you are!
4. Describe one of your ideas or goals that you have for yourself. What have you done or what do you plan to do in order to bring your idea to fruition or reach you goal? *
Examples could be something in your community, at your school, or in an extracurricular activity. Please elaborate as much as possible.
Parent/Guardian Information
Name of Parent(s)/Guardian(s): *
Parent(s)/Guardian(s) Home Phone Number : *
Parent(s)/Guardian(s) Cell Phone Number:
Occupation of Parent(s)/Guardian(s): *
Highest Level of Education for Parent(s)/Guardian(s): *
Please check ALL that apply: *
Name all people who reside in your home and please tell us their relationship to you and their age: *
Please enter your total household income: *
We will ask that you verify this information if you are selected as a finalist.
Recommender Information
Your application must include a recommendation from one of your teachers, professors or an adult other than a family member that knows you well. Before you request a recommendation, talk with the adult to determine if he or she is willing to provide this recommendation for you.

Recommender First and Last Name *
Recommender Email Address *
Recommender Telephone Number *
Relationship to You *
Explain how you know the person who will recommend you.
Please upload your recommendation letter here. (You can email your letter to info@beyondtheboroughs.org) if you have any trouble uploading your letter.
Transcript & EFC
Below please enter your current cumulative grade point average and your Expected Family Contribution from filling out the Free Application for Federal Student Aid (FAFSA).

If you are selected as a finalist we will request that you send an official transcript and a copy of your FAFSA to verify your information.

Please enter your current cumulative grade point average. *
Please enter your Expected Family Contribution (EFC) *
Your EFC is given to you after you complete the FAFSA at www.fafsa.ed.gov
Review & Submit
By entering your name below you certify that:

1. Everything in this application is complete and true to the best of my knowledge.

2. I understand that by submitting my application to Beyond the Boroughs for the Tevin Jones Memorial Scholarship Award, I am agreeing to apply for a competitive scholarship, and

3. I understand that my application is in no way an offer or a guarantee of an offer for the Tevin Jones Memorial Scholarship Award or any other Beyond the Boroughs scholarship.

I agree to each of the follwing statements above. *
Certified and Agreed by: *
Type your name
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