Deadline to submit completed application: Friday, April 22, 2025

Contact Jessica St Pierre at info@bayouindustrialgroup.com with any questions. Make sure to allow enough time for a response before the deadline. If a question does not pertain to you, you may leave it blank but be careful since the response to each question may affect your chances of being chosen for a scholarship.

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* 1. By applying for a Bayou Industrial Group scholarship, the applicant acknowledges that he or she understands the rules for scholarship administration; that he or she qualifies in every respect and that he or she agrees to abide by the rules. By submitting this application, you hereby verify that the information is true and accurate and give permission for Fletcher Technical Community College to release your grades, contact information, and other pertinent information (ex. federal, state, or academic aid amounts) to the scholarship donor. (Must read rules and accept before submitting application)

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* 2. Applicant's Contact Information

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* 3. Are you a United States citizen?

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* 4. Date of birth

Date

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* 5. Parish of Residence

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* 6. High School attended

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* 7. High School Graduation

Date

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* 8. High School GPA

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* 9. Does GPA include honors classes?

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* 10. Cumulative College GPA (if you have attended or are currently attending college classes)

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* 11. Enrollment in Fall 2025

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* 12. Intended Degree Major/Program of Study: Please provide enough detail to make sure we understand whether you will be pursuing a degree or an industrial certification.

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* 13. Do you work?

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* 14. If you answered "yes" to the previous question, describe your position(s), work hours, and duties.

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* 15. Are you (or your employer) a Bayou Industrial Group member? Visit bayouindustrialgroup.com/membership/our-members/ for membership list before answering.

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* 16. If you answered "yes" to the previous question, list your employer.

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* 17. Will you be receiving any other scholarships/grants for fall 2025?

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* 18. If you answered "yes" to the previous question, list name(s) and value(s) of each scholarship/grant. Please include TOPS level if applicable.

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* 19. Annual total household income

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* 20. Please list leadership roles, community service, extracurricular activities, and honors you'd like us to consider.

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* 21. Electronic Signature of Applicant
(type your full name)

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