Heart of a Hero Scholarship Application Form

The Heart of a Hero Scholarship is a $10,000 scholarship being awarded to New Jersey military service members to use towards their post-secondary education. New Jersey Heroes, with the help of Wal-Mart, will be able to award 10 worthy recipients this scholarship. New Jersey Heroes recognizes and celebrates the inspiring work being done by individuals and non-profit organizations across the Garden State to improve their communities and the lives of New Jersey residents.

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Eligibility & Selection Criteria for Applicants:

  • Must be a United States citizen.
  • Must be a New Jersey resident.
  • Must have received a high school diploma or high school equivalency diploma (GED).
  • Must have served in the military and submit documentation of military service (i.e. DD214, NGB22, etc). If applicant has been discharged from the military, must show proof of honorable discharge.
  • Must submit a completed scholarship application form via email, mail, or online submission.
  • Applicants must enroll as a student at an accredited college/university or a vocational training school in the 2012-2013 school year (Fall or Spring Semester).
  • Applicants must demonstrate a commitment to volunteerism and community contribution, in the spirit of New Jersey Heroes.

Application Process:

  • Applicants must fully complete the application form either online at the New Jersey Heroes website: www.newjerseyheroes.org by no later than 5:00pm on July 20, 2012 or submit an application via US Mail postmarked no later than July 20, 2012 and mailed to NJ Heroes, P.O. Box 95, Mendham, NJ 07945-0095.
  • Application Deadline is July 20, 2012.
  • The New Jersey Heroes Scholarship Selection Committee will review and evaluate all scholarship applications and choose the appropriate recipients.

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Full Name (required)

Your Email (required)

Address (required)

Home Phone/Cell Phone (required)

Birth Date (required)

High School Attended & Dates of Attendance (required)

College or Vocational School attending (required)

Year in School (required)

Branch of Military (required)

Dates of Military Service (required)

Documentation of military service (i.e. DD214, NBG22, etc)

Picture of Yourself

Reference Contact Information (required)

New Jersey Heroes recognizes outstanding individuals in our state who are doing remarkable things to help improve the lives of others and give back to their communities. In that spirit, briefly describe a volunteering experience you have been involved with in which you made a difference in your community or in New Jersey. (required)

Tell us about your future goals and how the scholarship will be used to meet those goals. Please feel free to include significant people and/or events that have influenced you. (required)

I affirm that the information provided in this application is true and complete to the best of my knowledge. I understand that if any of the information provided herein is knowingly false and/or inaccurate, I am subject to disqualification and will be ineligible for any award. I consent to the verification of information contained in my application. I understand that if selected, the scholarship award will be sent directly to my college institution for deposit into my student account to be applied to tuition. I understand if I am selected that I will need to provide all required information for payment to New Jersey Heroes by December 1, 2012 otherwise I will forfeit the scholarship. I hereby agree to these terms.

Electronic Signature of Applicant:

Date: