Scholarship Application Form

Application for Scholarship Award

Please note the following factors are strongly considered in determining awards: 1) Applicants must be an active member of OBPC 2) Potential for success in college 3) Record of involvement in church activities at OBPC 4) Demonstrated charitable attitudes and record of service to others

Applicant's Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Date of Birth*
Social Security Number*
Phone*
Father's Name
First Last
Father's Occupation
Mother's Name
First Last
Mother's Occupation
Name of Your High School*
Date of Graduation*
College You Will Attend*
Student ID Number*
Address of College Attending*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Contact Person at College*
First Last
Awards/Recognition You Have Received*
Extracurricular Activities In Which You Participated*
Leadership Positions You Have Held*
Other Activities You Participated In, Which Are Not Related to School*
How you have participated in the life of Ormond Beach Presbyterian Church?*
How many times have you attended service or church activity in the past year?*
What are your goals and objectives as you pursue higher education?*
*
- I understand that for this application to be considered complete I must provide my current transcript to: Ormond Beach Presbyterian Church, ATTN: Scholarship Committee, 105 Amsden Road, Ormond Beach, FL 32176
*
- I understand that for this application to be considered complete I must provide TWO letters of recommendation 1) from a member of the staff from school 2) from a non-related individual. Both letters to be sent to: Ormond Beach Presbyterian Church, ATTN: Scholarship Committee, 105 Amsden Road, Ormond Beach, FL 32176
By signing this application I am acknowledging that I have answered all of the questions truthfully and to the best of my ability.*
First Last
Today's Date*
MM slash DD slash YYYY

Application for Scholarship Award

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