Jim Smith Memorial Scholarship

Fill out the form below to apply for the Jim Smith Memorial Scholarship or you can download the application and send it in. The complete application package must be submitted by October 31st, the year of application. Applications received after the application deadline or incomplete applications will not be considered. Note: A personal interview before the Scholarship Committee may be required.

Download Reference Form

Applicant Name*

For: (please check one)*
Construction Industry Scholarship ($1,500.00)Family Member Scholarship ($1000.00)

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Name of COEA Member*

Relationship to COEA Member*

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Personal Information

Name in full*

Home address*

City*

State*

Zip code*

Apartment or Unit number

Phone Number*

Email address*

Date of Birth*

Are you married?*YesNo

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Spouse' name*

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Are you currently employed?*YesNo

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Name of firm*

Address of company or firm*

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Is the applicant under the age of 21?*YesNo

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Name of Guardian*

Address*

City*

State*

Zip code*

Phone Number*

Email address*

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Status of guardian?*EmployedRetired

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Name of firm*

Address of company or firm*

Job title*

Time in position*

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I hereby apply for this Scholarship to enable me to continue my education and/or obtain a Degree, license, or certification at:

Name of school*

School address*

City*

State*

Zip code*

For the session beginning*

Ending*

My intended vocation is*

The major course of study is*

My class standing will be*

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High School, Preparatory School, College, etc., you have previously attended.

Name of school*

School location*

Dates from*

to*

Honors received

Professional Societies

Clubs, Fraternities/Sororities

Hobbies

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In at least 500, but not more than 1000 words, state your goals and objectives in you chosen field and why you should be awarded a BOIEA Scholarship.

Goals

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Additional Information

Additional information

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Please include all required documents.

Proof of enrollment or acceptance for enrollment in a college, university, trade school, or business college*

Two Scholarship Reference Forms completed by teachers or faculty members*

One Scholarship Reference Form completed by a professional reference who is not a faculty member*

An up-to-date copy of your high school or college transcript*

ACT or SAT scores*

You must agree to the following statement below.

Acceptance
I solemnly affirm the correctness of the information supplied in this application. I have thoroughly read and understand the "Instructions to the Applicant" and the "Criteria Qualifications" described herein. If the scholarship is approved, I agree and promise to use it for no other purpose than as set forth in the "Criteria of Qualifications."

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