Jonathan Brown Scholarship Application FormPlease complete all sections of the form thoroughly and provide any required documentation. Name * First Name Last Name Email * Phone Number * Date of Birth * MM DD YYYY High School Name & School Board * Graduation Year * Post Secondary Plans * Name of Institution, Program of Study, Program Start Date Medical Challenges * Please describe any medical challenges you have faced during your academic journey. Please list the hospital(s) where you received treatment. Academic Information * List any Academic Honours or Achievements as well as Current Academic Average (%) Consent * By signing this application, I confirm that all the information provided is true and accurate to the best of my knowledge. I understand that the Jonathan Brown Foundation Scholarship Committee may verify the details provided, and I consent to the use of my name (my child's name) and image (my child's image) for promotional purposes related to the scholarship program. I am over the age of 18 My child is under the age of 18 Thank You for Submitting Your Application!We appreciate the time and effort you put into completing your Jonathan Brown Foundation Scholarship application. Your submission has been received and will be carefully reviewed by our selection committee.All applicants will be notified of the results via email once the review process is complete. If we require any additional information, we will reach out to you directly.If you have any questions in the meantime, feel free to contact us at jonathanbrownfoundation@gmail.comThank you for sharing your story with us—we look forward to learning more about your journey!
