Returning Applicant Form

Returning Applicant for Scholarship Award

Please note the following factors are strongly considered in determining awards: 1) Active member of OBPC 2) Potential for success in college 3) Record of involvement in church activities at OBPC 4) Demonstration of 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*
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
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
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

Returning Applicant for Scholarship Award

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