PERSONAL INFORMATION
Name _________________________________
Date of Birth ________________
Best Number to reach you ______________________________
Address___________________________________
City _________________________ State ______
SCHOLASTIC INFORMATION
High School & Graduation Date __________________________________ GPA _______
or
College Presently Attending _____________________________________ GPA _______
High School Student ID# ______________ or College Student ID # ___________________
Your School for this Fall ___________________________ Major __________________
List all church, school, volunteer and extra-curricular activities ___________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Applicant’s Signature ________________________________________ Date ______________
Completed applications are due no later than
April 1, 2010. Applications will not be considered if the
postmark date of the application mailed/shipped is past the stated deadline date.
Please provide the following required documentation:
Return Application to:
Supv. Mary Tucker
* A letter describing how the scholarship will benefit you in your pursuit of a degree
* A letter of recommendation from your pastor that describes your active involvement in your local church
* A letter of acceptance from the college or school you will be attending.
P.O. Box 1914
Stockbridge, GA 30281
The goal of this scholarship is to assist you in fulfilling your God-given destiny.
Please provide the following required documentation:
