"He who asks a million questions shall receive as many answers"(Reginal D. Jones). 

"Be Beautiful. Be Educated. Be Professional."
Founder & Company

Reginal D. Jones Application to Volunteer Services


I ______________________________ of __________________________(entity name) agree to volunteer my services to the Reginal D. Jones Scholarship Fund. I agree to raise:

     $10k            $20k            $50k            $100k            $500k            $1.0M

in order to honor the merit of this contract.

Please send _________( #of donation forms) to:

Last_________________________________First__________________________________MI____

Address__________________________________City______________________State____
Zip________

DOB ______/_______/_________
(mm/dd/yyyy)

SS# _______-_______-________

Phone (_____) _______-_________

I agree that I will be held liable for 60% of the full potential value of the donation forms I have requested in the event that the forms or funds are lost or stolen. Otherwise, I am only obligated to raise $__________(the amount cirlced above). In addition, I agree to pay any and all court costs and legal fees incurred by Reginal D. Jones in an attempt to collect the aforementioned.

I understand that for my services I will be compensated 40% of the total funds that I raise while serving as a volunteer for the Reginal D. Jones Scholarship Fund as a statue of gratitude and a reward for the diligence, persistance, as well as harkwork that it takes to accumulate scholarship dollars. (i.e. raise $10k; earn $4000)

I understand that my services are greatly appreciated and believe that the 40% compensation plan is adequate and will satisfy part if not all of my financial needs while volunteering my time and energy to Reginal D. Jones and Scholarship Fund that he represents.

I understand that I will have a specified period to reach my goal; at that time, I will be held liable for the agreed upon amount.

I will volunteer my services from _____________(mm/yyyy) to _____________(mm/yyyy). 

Non-corporate entities may omit entity name. Corporate entities, include a copy of the entities official business license.

Applicants must be at least 18 years of age, a citizen of the US, and shall be required to manufacture a co-signer.


______________________________________
co-signer's name (print)


______________________________________
co-signer's signature

_________-_______-_________
co-signer's SS#

________________________________
applicant's name (print)


_____________________________________
applicant's signature

__________________
date

full potential value = $1000/form
Non-corporate entities must also complete and submit the proficiency exam.

Mail to:
Reginal D. Jones
P.O. Box 901421
Memphis, Tn 38190

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