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FORMS & APPLICATIONS

Select the form or application below.

We look forward to hearing from you
and will be back in touch soon. 

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SPECIAL REQUESTS
COMMUNITY

JA of Hattiesburg extends assistance on a limited basis to qualifying area non-profit organizations for specific needs.

 

A completed application must be on file for assistance consideration.  

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A JA service project 
designed to assist area families in need.

 

A completed application must be submitted for consideration.  

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SPECIAL REQUESTS
FAMILY

JA of Hattiesburg extends assistance on a limited basis to qualifying area families for specific needs.

 

A completed application must be on file for assistance consideration.  

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A leadership, service project for area high school females.

 

A completed application must be submitted for consideration. 

OPENS MARCH 2021
DEADLINE: APRIL 30

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SPECIAL REQUESTS
YOUTH

JA of Hattiesburg extends assistance on a limited basis to qualifying area children/youth for specific needs.

 

A completed application must be on file for assistance consideration.  

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HUMANITARIAN OF THE YEAR NOMINATIONS

The Humanitarian of the Year Award is presented to an individual who has performed outstanding volunteer service in our community.

The winner will receive a $500 donation to be awarded to the 501(c)(3) organization of his/her choice. In addition, a $500 college scholarship will be awarded in their name to a deserving high school senior through the Junior Auxiliary Scholarship Program.

Submit your nomination by Sept. 24, 2021