'from a fan to a follower'

2011 Collegiate Scholarship Application

Please Print or Type

Part I – Personal Data

1.      Name:________________________________________________________

 

 

2.      Address:______________________________________________________

 

 

3.      Phone Number:________________________________________________

 

4.      Name of High School:___________________________________________

 

5.     Graduation Date:________________________________________________

 

6.      Grade Point Average: ____________Please provide a copy of an official transcript

 

7.     List school/community/church activities you have participated in:_______________________________________________________________________________________________________________________________________________________________________________________________________

 

8.     List Honors and Awards:_____________________________________________________________________________________________________________________

 

9.     Name and address of College(s) accepted:__________________________________________________________________________________________________________________________________________________________________________________

 

10.  Career interest or major field of study:_______________________________________________________________________________________________________________________

Part II – Character Information       

1.      How long have you been a member of Beulah Baptist Church?_________

2.      Please submit a letter of reference from an adult other than a relative or a member of the Scholarship Ministry.  (i.e. teacher, guidance counselor, community service sponsor, mentor or neighbor)

            Part III – Essay

1.      Please type and attach a short essay of 500 words or less and include the following:

a.      Why you want to attend college.

b.     What you have done to prepare yourself to help attain this goal.

c.      Your feeling on how the Church can help you attain this goal.

d.     Your interpretation of the Beulah Baptist Church 2011 Theme:  “A Church Called To Continue” Acts 2:41-42

            Part IV – Declaration of Truth

            I hereby declare that all above statements are true.  I am willing to provide additional information if necessary.

 

            __________________________                    __________________________

            Signature                                                         Date

****No application will be accepted after May 8, 2011****

Please return to:

                        Beulah Baptist Church

                        Attn:  Scholarship Ministry

                        92 Catherine Street

                        Poughkeepsie, NY  12601

 

 

Scholarship Affidavit

Applicant Instructions: Please have a Church Officer or Ministry Leader/member complete the 2nd part of the form below.  (No relatives are allowed to verify your church attendance)

To be completed by Student:

Student Name:             __________________________________________________________

 

High School:                __________________________________________________________

 

Graduating Year:             __________________________________________________________

   

 

Student's Signature: _______________________________________         Date:___________

Church Officer/Ministry Leader/Ministry Member Only:

I  endorse______________________ to be recipient of the Scholarship Ministry’s Scholarship for graduating High School Seniors attending an institute of higher education. I can attest that this student is an attending member of Beulah Baptist.

Name (Please Print)____________________________________________________

Phone (preferred):       ________________________           

Phone  (other):            ________________________           

Email:              ______________________________________

Church Leadership Position: _________________________________

Ministry(s):             __________________________________________________________________