Education Grant Application

Applications are accepted online during two application periods each year:

May 1 – June 15: For students attending both the upcoming fall and spring semesters, or for students whose final semester is the upcoming fall semester.
November 1 – 30: For students attending the upcoming spring semester.

"*" indicates required fields

Step 1 of 7

Student's Personal Information

Student's Name*

Legal First Name Legal Middle Name Legal Last Name

Immigration Number for Lawful Permanent Residents*

Have you ever been convicted of a Person Felony?*

Yes

Student's Date of Birth*

Student's Age

Student's Gender*

Student's Last 4 Digits of Social Security #*

Student's Address*

Street Address (No PO Box) City State ZIP

Student's Phone*

Student's Email*

Student's Phone - hidden duplicate to be eventually removed

This is only here because the old website had a duplicate field for student phone. it can be deleted once we are no longer relying on CSV files

Student's Email - hidden duplicate to be eventually removed.

This is only here because the old website had a duplicate field for student email. it can be deleted once we are no longer relying on CSV files

Number of years student has resided in Coffey, Lyon or Osage County:*

Have you completed an application for the Jones Foundation Undergraduate Education Grant within the last four years?

Yes

From where did you graduate high school?*

High School Graduation Date*

College you will attend. Include location, if applicable.*

Previous Institution, if transferring.

Declared Major (if undecided, state "undecided")*

NOTE: If attending a Technical College "Undecided" is not an option; you must be enrolled in a specific Program of Study to apply.

Grade level for upcoming academic year:*

Freshman

Sophomore

Junior

Senior

Scholarships

For this academic year, If you HAVE RECEIVED other scholarships, tuition waivers and/or grants that are NOT listed on your institution's Financial Aid Award Letter, provide the following information for each below. DO NOT list any scholarships or grants already included on your institution's Financial Aid Award Letter nor ANY amounts awarded in previous years, as well as any Jones Foundation amounts. Duplication of this information may negatively affect your chances of receiving the Undergraduate Education Grant! At any time after submitting your application this information should change, contact the Jones Foundation office immediately.

SCHOLARSHIPS: List only those that are NOT included on your institution's Financial Aid Award Letter!

Scholarship/Grant Name

Fall Amount Received

Spring Amount Received

Total Received for Year

ATTENTION
The questions below are for
YOUR PARENT(S).

YOUR PARENT(S) must answer these questions regarding
THEIR additional income, vehicles, assets, and debts.

Additional Income

In the previous year, if you, your parents or anyone in the household received any of the income listed below, provide the total amount received from January 1 through December 31, enter below and include proof of total amounts received.

Cash Assistance (if none, type $0.00):*

Child Support (if none, type $0.00):*

Death Benefits (if none, type $0.00):*

Disability (if none, type $0.00):*

Food Stamps (if none, type $0.00):*

Military (if none, type $0.00):*

Retirement (if none, type $0.00):*

SSI (if none, type $0.00):*

Unemployment (if none, type $0.00):*

Home and Vehicles

Do you own, are purchasing, or rent your home? (check all that apply)*

Own or purchasing a home

Rent a home or apartment

Rent a lot for a mobile/manufactured home

None of the above

If own or purchasing, what is appraised value of home & acreage?*

Amount of acreage included (if any)

Current payoff amount of mortgage*

If renting, amount paid per month*

First and Last Name of Individual or Company Name to whom rent is paid*

If none of the above, please explain*

Do you own or are you purchasing a vehicle or vehicles of any kind, including but not limited to, cars, trucks, SUVS, vans, RVs, motorcycles or watercraft?*

Yes

VEHICLES: List below ALL vehicles (even if value is $0.00) including, but not limited to, motorcycles, RVs, and watercraft. Click the Add Vehicle button to add more.

Vehicle Year*

Make & Model*

Payoff Amount (if none, type $0.00)*

If no vehicles are owned, please explain:*

Additional Assets

Itemize below all Additional Assets.

ACCOUNTS: List ALL savings accounts, retirement accounts, college savings plans, investment accounts, etc. Click the Add Account button to add more.

Account Type (if none, type NONE)*

Account Value (if none, type $0.00)*

Loan, if any (if none, type $0.00)*

PROPERTY: List ALL additional property owned, including rental property, land, business property, business equipment, farm equipment, livestock, crops, etc. Click the Add Property button to add more.

Property Type (if none, type NONE)*

Market Value (if none, type $0.00)*

Loan, if any (if none, type $0.00)*

Debts

In 'Debts', provide the total payoff balances for any additional bills you owe other than what is previously listed.

Total of All Medical/Dental Bills (if none, type $0.00):*

Total of All Credit Cards (if none, type $0.00):*

Total of Other Outstanding Loans not listed in application (if none, type $0.00):*