A Registered 501(c)3 Public Charity Start A Fund Manage A Fund Grace Jordan Howard Scholarship GJH Scholarship: The Mission of the Grace Jordan Howard Foundation is to provide financial assistance to members of the Student Chapters of the Georgia Chapter of ASID. PERSONAL INFORMATION Your Name Date of Birth Address City State —Please choose an option—AL AlabamaAK AlaskaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFL FloridaGA GeorgiaHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaOH OhioOK OklahomaOR OregonPA PennsylvaniaRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming Zip Code Email Phone Number EDUCATIONAL INFORMATION High School City State —Please choose an option—AL AlabamaAK AlaskaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFL FloridaGA GeorgiaHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaOH OhioOK OklahomaOR OregonPA PennsylvaniaRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming Year Graduated College City State —Please choose an option—AL AlabamaAK AlaskaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFL FloridaGA GeorgiaHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaOH OhioOK OklahomaOR OregonPA PennsylvaniaRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming Student Status —Please choose an option—Full TimePart Time Major/Intended Major Class Level —Please choose an option—JuniorSenior ASID Membership Number Involvement & Activities in Student Chapter Special Achievements/Honors and Recognition Extracurricular Activities/Community Involvement/Employment Financial Needs PORTFOLIO. The application should include one (1) design project, submitted in a .pdf format. All items should be labeled with your name, title/requirements of each project, & year completed. DESIGNER'S STATEMENT. Please submit a Designer's Statement including the reason for selecting the field of Interior Design as your profession, your goals for the future and why you need financial aid to complete your studies. LETTER OF RECOMMENDATION. A letter of recommendation from a current or past instructor familiar with your qualifications should be included with the application. Signature of Applicant Date DEADLINE. Return this completed application electronically, along with your Portfolio, Designer’s Statement and Letter of Recommendation by April 4, 2016 by 5:00 EST, to be considered for the scholarship. Should you have any questions please contact Elayne DeLeo at the ASID office. (404-231-3938)