Jenkins Scholar Counselor Nomination Form

Open only to U.S. citizens who are residents of Alabama, Florida, Georgia, North Carolina, South Carolina, Tennessee, or Virginia, graduating from an accredited high school within their home state.

Eligible students are required to submit all First-Year Admission Requirements by the Early Decision I or Early Action deadline of November 1. Additionally, students must submit the Free Application for Federal Student Aid (FAFSA) and the CSS Profile along with any required financial aid documents.

To be considered for the scholarship, the Jenkins Application Essay must be submitted by December 1.

Counselor and High School Information

Counselor First Name

Counselor Last Name

Title

Other Title

Email

High School Name

High School Ceeb Code

Phone Number

High School Address

Country

Street

City

Region

Postal Code

Nominated Student Information

Nominated Student's First Name

Nominated Student's Last Name

Nominated Student's Residing State

Nominated Student's Date of Birth

Nominated Student's Email (as submitted on Common App)

Signature

Signature indicating that this person is the nominated student's counselor

In the following section, please discuss why the student is deserving of this scholarship, including the student's academic promise, extracurricular involvement, and an emphasis on the adversity that the student has overcome.

Jenkins Scholar Counselor Nomination Form

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