Please review the entire application prior to completing. You will not be able to save your information for later submission so gather all necessary information and compose the required essays before you begin to complete this form.

Name *
Phone *
High School
Graduation Year
List your college choice (s) or the college you are attending.
Senior Pastor
Church Address
Church Address
Parents' Name
General Educational Goals *
Please select the area that best matches your goal for getting your degree.
In a concise paragraph, please describe your career goals.
Please provide your current semester and cumulative GPA. Submit a letter from your school counselor verifying your cumulative grade point average.
Federal aid
Do you plan to apply for federal financial aid?
Please answer the following questions in paragraph format. Your personal statements will be judged on its content, grammatical conventions, and writing style. Please focus on the substance of your answer and provide sources and citations as needed. Personal Statement 1: The lessons we take from obstacles we encounter can be fundamental to later success. Recount a time when you faced a challenge, setback, or failure. How did it affect you, and what did you learn from the experience?
In 300 words respond in the space below to this topic : Describe a problem you've solved or a problem you'd like to solve. It can be an intellectual challenge, a research query, an ethical dilemma - anything that is of personal importance, no matter the scale. Explain its significance to you and what steps you took or could be taken to identify a solution.
Name of your high school principal (high school applicant) or college official (college applicant) who can speak to your character.
Please provide a community member who can speak to your community involvement.
Certification *
By submitting this application, I certify that the information provided on this application is complete and reflects my thoughts and words and was developed by me. I further certify that I understand that if I am chosen as a scholarship recipient, the funds will be used only for expenses related to my education in an institution of higher learning in the United States.
Photo Submission
Please email a professional quality photo to . In the subject line please note your name and "Scholarship Submission"