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Copy of High School Diploma or GEDChoose File
Copy of a Reference from a teacher, employer,
or member of your community (above 25 years of age)
Yes I have read and agree with Legal Notification

Your Experience

Please answer every question. Do not leave any questions unanswered or any space blank. If a question is not applicable to you, write N/A in the space provided, or, if no space is provided, next to the question.

  • Please describe your current employment and a description of your role.
  • Please describe yourself as a student.
  • Please describe any entrepreneurial experience you have.
  • Please describe any philanthropic or extra curricular experience you have.
  • Tell us about your 1 year plan.
  • Tell us about your 5 year plan.
  • Tell us how you contribute to your community.
  • What is the biggest PERSONAL challenge you have ever overcome?
  • If you had to brag about the four most important accomplishments, what would they be?
  • What would someone close to you describe as your best and worst traits?

Video Submission

    • Take a video of yourself describing why Fox & Jane Scholarship Fund should choose you and what makes you different from everyone else applying. IMPORTANT: Please upload the video (3 min max) to Dropbox, or Google Drive and paste a download link to your private video below. DO NOT post to a video-sharing site (ie. YouTube, Vimeo, etc.).

For tips & requirements, please see our “Video Tips” page



By submitting this application, I hereby consent to the recording, use and reuse by FOX & JANE, CAIRNS AND CANU GROUP and any of their respective licensees, successors, assignees, parents, subsidiaries, or affiliated entities, and each of their respective employees, agents, representative, officers and directors (collectively “Releases”) of my voice, actions, likeness, name, appearance, biographical material, and any information contained in, derived from or obtained in connection with my application to be a participant in “The Fox & Jane Scholarship Fund” or in any materials submitted by me in connection with my application (collectively “Likeness”), as edited, altered, or modified by the Producer or by any of the other Releasees, in any and all media now known or hereafter devised, worldwide in perpetuity, in or in connection with the Program or any other work.

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I agree that the Releasees or any of them may use all or any part of my Likeness, and may alter or modify it regardless of whether or not I am recognizable. I further agree that the Releasees exclusively own all right, title, and interest (including, without limitation, all copyrights) in and to any and all recordings made by them and in and to any and all video that I have provided in connection with my application and any other materials that I have provided or may provide in connection with my application or the Program (collectively, the “Materials”), including, without limitation, the right to edit, alter or modify the Materials and to use all or part of the Materials and my Likeness in any and all media now known or hereafter devised worldwide, in perpetuity. I further represent that I am the sole owner or holder (or the authorized representative of the sole owner or holder) of the rights granted herein, including, but not limited to any and all copyrights, trademarks, and rights in the likenesses of any people (if any) depicted in the Materials, that it is authorized to enter into and execute this agreement, that nothing of value apart from the Materials was given (or was agreed to be given) to Producer or any other person or entity in exchange for use of the Materials, that the consent of no other person or entity is required to enable use the Materials as described herein, and that such use will not violate the rights of any third parties. I further agree that Releasees may use my Likeness and the Materials in connection with any promotion, publicity, marketing or advertisement. I grant the rights hereunder whether or not I am selected to participate in the Program in any manner whatsoever. I understand that I will not be paid any money for giving Releasees these rights or for signing this application. I acknowledge that everything stated in this application is true. I understand that any falsely submitted answers can and will be grounds for removal from the casting process and from my subsequent participation in the Fund. Fox & Jane and Cairns and Canu reserve the right to render ineligible any person who either of them determines, in the sole discretion of either of them, is sufficiently connected with the company’s, administration, judging, or distribution of the committee, such that his/her participation in the Program could create the appearance of impropriety. Fox & Jane/ Cairns and Canu Group will also consider whether you or any member of your immediate family or anyone living in your household is or has been within the last two (2) years an employee, officer, director or agent of any of the Fox & Jane/Cairns and Canu Group.


In the event that you are selected to receive the funds, payment will only be issued to the program of which you are enrolled and will be allocated directly to the Certified Entity annually or quarterly basis for tuition payments. Should you discontinue your education, all future payments will be void.
Payment cannot be used for personal items related to schooling and will only be eligible for tuition payments. Payments cannot be made directly to the Applicant.


By uploading your video to the application website (“User Content”), you hereby acknowledge and agree that you are granting Fox & Jane/Cairns and Canu (including without limitation, its licensees, affiliates, successors and assigns) a worldwide, royalty-free, perpetual, irrevocable, sub-licensable, non-exclusive right and license to use, reproduce, publicly display, publicly perform, modify, sublicense, and distribute such User Content, and incorporate it in other works, in whole or in part, in any manner and any media now known or hereafter developed.

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You represent and warrant that you own such content or otherwise have sufficient rights in the content to grant to Fox & Jane/Cairns and Canu the foregoing license without infringing or violating the rights of any third party. Without in any way limiting the foregoing, you acknowledge and agree that Fox & Janel, its licensees, affiliates, successors and assigns, license, assign and otherwise transfer any and all of the rights granted by you under these Terms of Service, and to display any advertising, publicity, promotional materials and distribution rights in connection with your User Content. You acknowledge and agree that Fox & Jane/Cairns and Canu, its licensees, affiliates, successors and assigns, will be entitled to retain any and all revenue generated from any sales, licenses, assignments and other transfers of the rights granted by you hereunder, as well as any and all revenue generated by the display of any advertising, publicity, promotional materials or distribution rights in connection with your User Content.