Application Form


Student/Applicant Name:
Student/Applicant Address:
Student/Applicant City:
Student/Applicant State:
Student/Applicant Zip:
Student/Applicant Email:
Student/Applicant Home Phone:
Student/Applicant Cell Phone:
Student/Applicant Age:
Student Year in School (Freshman, Sophomore, etc.):
Student/Applicant School:
School Address:
School City:
School State:
School Zip:
Are you a citizen of the United States?	Yes
	No
Is your school located in the United States?	Yes
	No
Where did you hear about the Foundation?

School Transcripts: Please submit a recent school transcript. (This can be e-mailed to us directly from the school or sent through this website using the Transcript Form.) Essay: In 250 words or less, please discuss your interest in photography and photojournalism. Please also provide a brief description of the images or videos you are submitting. This should be sent through this website using the Essay Form. Acknowledgment: I give my permission for the information contained in this application to be reviewed by the Selection Committee and Board of Directors of The James Alan Cox Foundation for Student Photographers. I also grant permission to the Selection Committee and Board to obtain all other information necessary for determination of my eligibility for this scholarship. I attest that all information is true and accurate to the best of my knowledge and represents my own work.
	I acknowledge the above statement as correct