Apply Scholarship Online - Jackie E. Smith Foundation

Scholarship recipients shall be selected by the Jackie E. Smith Foundation. To be qualified to be awarded a scholarship, each applicant shall:

Have a high school or college grade point average of 3.25 or higher on a 4.0 scale.
Be accepted to an accredited college, university, trade school or seminary.
Be active in a local church or house of worship.
Be active in the student ministries within a local church or house of worship.
Have been on mission trip(s) or worked in missions within the Tulsa area.

The scholarships shall be awarded to students that meet the above criteria and exemplify the characteristics of Jackie Smith which include a high moral character, a strong Christian faith, a love for family and a willingness to work and learn.

Although the scholarship fund is designed for graduating high school seniors, a scholarship may be awarded to sophomore, junior or senior college student that meets the above criteria. The amount of the scholarship is $1,000 per semester and will be awarded to a male and a female student for the academic year. All awarded scholarship funds shall be paid directly to the college, university, or trade school that the recipient is attending and used for tuition, fees, and books.

The application deadline is April 30^th.

The scholarship will be available to freshman recipients for eight (8) consecutive semesters provided they continue to meet the above criteria, maintain an overall 3.00 GPA or higher, and are in good standing with their college, university or trade school and have no legal issues.

Application Method

1 Fill out the entire scholarship application form below.
2 To process your application, you must click the SUBMIT button at the end of the application.

I. INFORMATION SHEET

Applicant’s Name : *

Your Email *

Your Phone *

Parent/s Names : *

Your Mailing Street Address : *

City : *

State : *

ZIP : *

Date of Birth : (mm/dd/yyyy) : *

College, University, Trade School or Seminary in which you have applied

Have you been accepted to this school? *YesNo

Is this school fully accredited? *YesNo

High School(s) attended and years attended : (Example: Jenks k-10; Metro Christian 11-12) *

Your message (optional)

A copy of your high school transcript and/or your college transcript (limit: 4mb): *

II. SCHOOL INFORMATION

List all honors received, activities, clubs, and offices held during high school. Indicate the year(s) of participation.
Example: Class Secretary 9
National Honor Society 11, 12
National Honor Society, Pres. 12

Grade Point Average (A = 4.0 points) *

Activity's Name *

Year(s) of Participation *

Activity's Name

Year(s) of Participation

Activity's Name

Year(s) of Participation

Activity's Name

Year(s) of Participation

Activity's Name

Year(s) of Participation

Activity's Name

Year(s) of Participation

If more space is needed, please include ADDITIONAL ACTIVITIES in the message box above.

III. EXTRA-CURRICULAR ACTIVITIES

List all scout, dance, drama, music, clubs and/or sports, etc. Indicate the year(s) of participation.
Example: Piano 9, 10, 11, 12
Green Country Soccer 10, 11
Keynote Music Comp., Sr. Di 10

Activity's Name *

Year(s) of Participation *

Activity's Name

Year(s) of Participation

Activity's Name

Year(s) of Participation

Activity's Name

Year(s) of Participation

Activity's Name

Year(s) of Participation

Activity's Name

Year(s) of Participation

If more space is needed, please include ADDITIONAL EXTRA-CURRICULAR ACTIVITIES in the message box above.

IV. COMMUNITY SERVICE AND WORK EXPERIENCE

List all volunteer work, full-time and part-time positions held. Indicate the year(s) of participation.
Example: Community Food Bank 9, 10, (summers)
Reasor’s (10 hrs/week) 11, 12

Activity's Name *

Year(s) of Participation *

Activity's Name

Year(s) of Participation

Activity's Name

Year(s) of Participation

Activity's Name

Year(s) of Participation

Activity's Name

Year(s) of Participation

Activity's Name

Year(s) of Participation

If more space is needed, please include ADDITIONAL COMMUNITY SERVICE & WORK EXPERIENCE in the message box above.

V. CHURCH INFORMATION

List all Christian involvement, Tulsa Metropolitan Area Church or elsewhere, during high school. Indicate the year(s) of participation.
Example: Small Group, Asbury 9, 10, 11, 12
Shepherd's Fold, youth camp 9, 10, 11, 12 (summers)
Mission Trips 9, 10, 11, 12 (spring breaks)

Are you a member of any Tulsa Metropolitan Area Church? *

YesNo

Name of Church *

Year joined: *

Activity's Name

Year(s) of Participation

Activity's Name

Year(s) of Participation

Activity's Name

Year(s) of Participation

Activity's Name

Year(s) of Participation

Activity's Name

Year(s) of Participation

Activity's Name

Year(s) of Participation

If more space is needed, please include ADDITIONAL CHURCH INFORMATION in the message box above.

VI. Please write a short statement of your desires and goals for your future. Include in that statement ways in which you hope college will help you achieve those desires and goals. (Required)

VII. REFERENCE - Please list one reference (not your sponsor and not related to you) from each of these areas: church, community, and school.

Name *

Area of Reference *

Phone *

Address *

City, State, Zip *

Association with Applicant *

Name *

Area of Reference *

Phone *

Address *

City, State, Zip *

Association with Applicant *

Name *

Area of Reference *

Phone *

Address *

City, State, Zip *

Association with Applicant *

Name

Area of Reference

Phone

Address

City, State, Zip

Association with Applicant

Name

Area of Reference

Phone

Address

City, State, Zip

Association with Applicant

Name

Area of Reference

Phone

Address

City, State, Zip

Association with Applicant

VIII. HIGH SCHOOL SPONSOR/COUNSELOR

Name *

Area of Reference *

Phone *

Address *

City, State, Zip *

Association with Applicant *

If you have a problem or a question, please email Jackiesmithfoundation@gmail.com

She Lived Fully, Loved Whole-Heartedly & Laughed Often.

This Foundation was Created In Loving Memory of
Jacqueline Eda Wheeler Smith
September 4, 1942-November 21, 2018

She Lived Fully, Loved Whole-Heartedly & Laughed Often.

This Foundation was Created
In Loving Memory of
Jacqueline Eda Wheeler Smith
Sep. 4, 1942 – Nov. 21, 2018

Home Application

Jackie E. Smith Foundation, INC. 2021

Tulsa Web Design – Matcha Design