Scholarship Form

SUBMIT YOUR SCHOLARSHIP APPLICATION BELOW.

A printable version of the application can be found at the bottom of the page.

Applications are due no later than 12:00pm on Friday, June 6, 2025.

Name

Student's name

First Name

Last Name

Student's email address

Phone

Student's phone number

(###)

###

####

Address

Student's address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

PERSONAL DATA

Parent 1 Occupation/Employer

If student lives with parent(s)

Parent 2 Occupation/Employer

If student lives with parent{s)

Student's Occupation/Employer

If student is self-supporting.

Spouse's Occupation/Employer

If student is married.

ACTIVITY RECORD

Extracurricular school activities.

Include any offices held.

Church Activities:

Community Activities:

What school will you be attending?

Number of years remaining until graduation:

School class or year of study:

What is your current year of study in school?

FUTURE PLANS

What are your educational and career goals?

Please describe in a paragraph or two.

DEADLINE

Applications are due by 12:00 noon on the date of the deadline as listed above. This is a firm deadline to allow the Scholarship committee to review applications.

ELECTRONIC SIGNATURE

BY ENTERING MY NAME IN THE FIELD BELOW, I ACKNOWLEDGE THAT I AM ELECTRONICALLY SIGNING THIS APPLICATION. I ALSO CERTIFY THAT THE ABOVE INFORMATION IS TRUE TO THE BEST OF MY KNOWLEDGE, AND PROMISE TO KEEP IN CONTACT WITH THE CHURCH THROUGH THE SCHOLARSHIP COMMITTEE.

Name

ENTER YOUR NAME TO ELECTRONICALLY SIGN THIS APPLICATION.

First Name

Last Name

Date

YYYY

Download printable application