Jeff Pike Memorial Scholarship Application Form

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Jeff Pike Memorial Scholarship Application Form

Application Period: MARCH 20, 2026 – may 1, 2026

Winner Announced MAY 8, 2026

Applicant Information

First Name

Last Name

Date of Birth

Address

Ctiy

State

Zip

Phone Number

High School Information

School Currently Attending

Grade

GPA

Act Score

High School Honors & Activities

Advisor Name

Advisor Phone Number

Community Activity

Volunteering

Sports & Clubs

Religious Organizations

College Or University

Accredited Two Or Four-year College Or University Accepted To *

Submit Application Attachments

File Upload - Transcript*

Transcript

File Upload - Essay*

Essay

File Upload - Irs Form 1040*

Irs Form 1040*