Scholarship Application

Name*

First Last

Upload Self-Portrait*

Drop files here or

Accepted file types: jpg, jpeg, gif, png, Max. file size: 20 MB, Max. files: 1.

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Cell Phone*

Email*

Enter Email Confirm Email

Are you currently enrolled in college?*

Yes
No

Date of Graduation*

Proof of Income

Are you employed?*

Yes
No

Part Time
Full Time

Position*

Have you received an income in the past 6 months?*

Yes
No

Personal Gross Monthly Income*

Upload copies of your personal paystubs (or other proof of income) for the past three months.*

Drop files here or

Max. file size: 20 MB.

You can upload a scanned document or take a clear picture with your phone. Be sure no information is cut out.

Personal Monthly Expense*

Provide a breakdown of what your monthly expenses consist of.

Do you have any savings accounts, investments, or major assets?*

Yes
No

Type

Total Amount*

Do you have any other source of income?*

Yes
No

Type*

Monthly amount*

Personal Information

Marital Status*

Not Married
Married

Are you*

Do you live with your parents?*

Yes
No

Are your parents*

Married
Divorced
Widowed

How many total kids do your parents have?*

How many people live in your household? Children (0-17)*

How many people live in your household? Adult (18 and up)*

Is your father employed?*

Yes
No

Has your father received an income in the past 6 months?*

Yes
No

Father's employment position*

Father's Gross monthly income:*

Upload copies of your fathers personal paystubs (or other proof of income) for the past three months.*

Drop files here or

Max. file size: 20 MB.

You can upload a scanned document or take a clear picture with your phone. Be sure no information is cut out.

Is your mother employed?*

Yes
No

Mother's employment position*

Has your mother received an income in the past 6 months?*

Yes
No

Mother's Gross monthly income:*

Upload copies of your mothers personal paystubs (or other proof of income) for the past three months.*

Drop files here or

Max. file size: 20 MB.

You can upload a scanned document or take a clear picture with your phone. Be sure no information is cut out.

How many of your siblings are working full time?*

Can your family contribute to paying your tuition?*

Yes
No

Please explain why?*

Can your friends/church help you pay for your tuition?*

Yes
No

Is your spouse employed?*

Yes
No

Occupation*

Gross monthly income*

Number of children*

Age of children*

Do you have any physical disabilities, serious illnesses or allergies?*

Yes
No

If yes, please explaine*

Spiritual Information

What is your dream or long term goal in life?*

Please, describe several ways how you help people around you on a regular basis*

How often do you read the Bible alone?*

How often do you pray alone?*

How often do you attend church?*

Essay Submission

Submit a one page essay about why you believe you deserve to get this scholarship. Essay requirements: one inch margins, double spaced, Arial font, size 12 pt, with name, date and title at the top.

Upload Typed Essay*

Drop files here or

Accepted file types: pdf, doc, docx, zip, pages, Max. file size: 20 MB.

I certify that all of the information and statements on this application are complete and accurate.*

Yes, I certify

I am aware that this is an application and not all applicants are awarded a scholarship. Filling out this application does not guarantee an award.*

Yes, I am aware

I am aware that my scholarship application will be reviewed only after two leaders of my local church submit recommendation letters.*

Yes, I am aware

Please provide them with the link to the recommendation letter located on the tuitions tab of our website.

I am aware that my scholarship application will be reviewed only after I submit an application to school and make a deposit.*

Yes, I am aware

Signature*

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