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J.C. Cote Scholarship Application

Contact information

fields marked with * are required

Last Name *

First Name *

Middle Initial *

Email *

Collegiate Address *

Collegiate City *

Collegiate State *

Collegiate Zip *

Collegiate Phone *

Permanent Address *

City *

State *

Zip *

Phone *

Education

College/University *

City *

State *

Credit Hours Completed *

Cumulative or Major GPA *

Degree Pursuing *

Expected Graduation Date *

Employment History

Company Name *

Title/Duties *

Dates of employment *

Company Name

Title/Duties

Dates of employment

Company Name

Title/Duties

Dates of employment

Company Name

Title/Duties

Dates of employment

Civic/Collegiate/SHRM Activities and Honors

Are you a SHRM Member?*

Yes

Tell us about your Civic/Collegiate/SHRM Activities and Honors *

Upload Additional Resources

Cover letter

Current Resume *

College Transcript *

Recommendation Letter 1 *

Recommendation Letter 2 *