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For Students
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Scholarship Application New
Primary Application Form
"
*
" indicates required fields
First Name
*
M.I.
Last Name
*
Date of Birth
*
Month
Day
Year
Phone Number
*
Email (Personal)
*
Email (JCPS)
*
Secondary Email
Address
*
Street Address
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Zip Code
Race
*
American Indian or Alaska Native
Asian
Black/African American
Hispanic/Latinx
Native Hawaiian or Other Pacific Islander
Two or More Race
White
Prefer not to disclose
High School
*
Atherton High
Ballard High
Bellewood
Boys & Girls Haven
Breckinridge Metropolitan High
Brooklawn
Butler Traditional High
Central High Magnet Career Academy
Doss High
Dupont Manual High
Eastern High
Fairdale High
Fern Creek High
Georgia Chaffee Teenage Parent Program
Home Of The Innocents Discovery
Home Of The Innocents School
Iroquois High
J. Graham Brown School
Jeffersontown High
Liberty High
Louisville Day
Louisville Male High
Marion C. Moore School
Mary Jo and William MacDonald Maryhurst
Mary Ryan Academy
Minor Daniels Academy
Newcomer Academy
Pathfinder
Peace Academy
Pleasure Ridge Park High
Seneca High
Southern High
St Joseph Children's Home
The Academy @ Shawnee
The Brook-Dupont
The Brook-KMI
The Phoenix School Of Discovery
Valley High
Waggener High
Waller-Williams Environmental
Western Day Treatment
Western High
Earned GED in 2023
(Applicant must be attending a Jefferson County Public Schools High School and graduate in 2023 to be eligible)
Graduation Date
*
Month
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
Day
1
2
3
4
5
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11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
Year
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
(Please select your graduation year to confirm you are a part of the JCPS 2023 graduating class)
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Graduation Date
*
College(s) you plan to/have applied to (check all that apply):
Simmons College of Kentucky
College(s) you plan to/have applied to (check all that apply):
Jefferson Community & Technical College
College(s) you plan to/have applied to (check all that apply):
Ashland Community & Technical College
College(s) you plan to/have applied to (check all that apply):
Big Sandy Community & Technical College
College(s) you plan to/have applied to (check all that apply):
Bluegrass Community & Technical College
College(s) you plan to/have applied to (check all that apply):
Elizabethtown Community & Technical College
College(s) you plan to/have applied to (check all that apply):
Gateway Community & Technical College
College(s) you plan to/have applied to (check all that apply):
Gateway Community & Technical College
College(s) you plan to/have applied to (check all that apply):
Henderson Community & Technical College
College(s) you plan to/have applied to (check all that apply):
Hopkinsville Community & Technical College
College(s) you plan to/have applied to (check all that apply):
Madisonville Community & Technical College
College(s) you plan to/have applied to (check all that apply):
Maysville Community & Technical College
College(s) you plan to/have applied to (check all that apply):
Owensboro Community & Technical College
College(s) you plan to/have applied to (check all that apply):
Somerset Community & Technical College
College(s) you plan to/have applied to (check all that apply):
Southcentral Kentucky Community & Technical College
College(s) you plan to/have applied to (check all that apply):
Southeast Community & Technical College
College(s) you plan to/have applied to (check all that apply):
West Kentucky Community & Technical College
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2024 Evolve502 Scholarship Recipient Agreement
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