Application for Scholarship

IF YOU ARE APPLYING FOR SCHOLARSHIP RENEWAL, CLICK HERE

In addition to the form, please write a one-page essay on one of the following ideas:

A. IDENTIFY AND DISCUSS ONE SIGNIFICANT PROBLEM OR ISSUE IN CONTEMPORARY CULTURE THAT CONCERNS YOU; SOME OF THE DIMENSIONS OF THIS ISSUE, WHY IT MATTERS TO YOU, AND WHAT POSSIBLE SOLUTIONS YOU MIGHT SUGGEST.

B. DESCRIBE THE IMPORTANCE OF A 20TH OR 21ST CENTURY WORK OF ART OR LITERATURE AND EXPLAIN HOW IT HAS INFLUENCED YOUR THOUGHT OR ACTION.

Please email to:

amber@fumcgastonia.org

or mail to:

Amber Payne

190 East Franklin Blvd

Gastonia, NC 28052

Full Name*

Name Called*

Sex

Birthdate*

Telephone Number*

Address*

Email*

Name(s) of Parent(s) or Guardian(s) with whom you reside*

Name(s) of other Parent(s) or Guardian(s) if applicable

Father's Occupation

Mother's Occupation

Name and ages of siblings

HIgh Shcool(s) attended*

Name of college, university or other post high school institution attended or plan to attend*

Date entering or entered *

Title of degree being pursued (if known)

Possible career goal at this time

What is the total anticipated cost of your upcoming academic year? (include housing, food, etc...)*

Briefly explain financial assistance you have applied for or will be receiving for your education.

References: Names, phone numbers, addesses. (One being a non-school person)

What are your academic strengths and weaknesses? Include any honor awards you have received.

List the any school extracurricular activities you have been involved in & approx. hours

List any activities you have been involved in outside of school (Jobs, Church, Comm. Service, etc..)

Why would a scholarship be helpful to you? Please make known any family circumstances

Describe your faith story in at least one paragraph, emphasizing significant people and experiences.