JLMBC Graduate Recognition Form

(High School or College)

Your name *

Email address *

Student's Full Name: *

Phone number *

Graduation Level (choose one): *

If you're a High School Graduate, please complete the following:

School Name:

GPA:

Clubs/Organizations/Affiliations (if any):

Scholarships Received (if any):

Future Plans (e.g., college name, intended major):

If you're a College/University Graduate, please complete the following:

School Name:

Degree Type (e.g., B.A, B.S., M.Ed., etc):

Major:

GPA:

Clubs/Organizations/Affiliations (if any):

Document Uploads (Required for All Graduates) *

Please upload at least one of the following as proof of graduation:

A photo of your diploma or degree

A copy of your transcript

A photo of your graduation announcement

No files currently selected

Add up to 5 files. Maximum file size 10 MB.

Photo Upload *

Please upload 1 high-quality photo of yourself (cap and gown preferred, if available) for the program.

No files currently selected

Add up to 5 files. Maximum file size 10 MB.

SIGNATURE

Once this application is signed, I understand that an incomplete application will not be accepted. I also understand that an application turned in after due date, will not be accepted.

Signature: *

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