Lisa Lyons Scholarship Application Form

Lisa Lyons Scholarship Application Form

A $2,500 scholarship for the Fall semester awarded to an outstanding high school senior enrolled in or is currently attending an Assemblies of God College or University who is a permanent resident of Arkansas with at least a 3.0 GPA.
Personal Information
Name *

First Name Last Name
Student Email *
example@student.coastalalabama.edu
Phone Number *

Area Code Phone Number
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Total Household Income from Previous Year *
Give a short description of the Financial Need. *
High School Information
High School *
High School Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Expected Graduation Date *
Current GPA *
ACT Score *
Please upload a copy of your transcript. (If you cannot upload, email transcript to scholarship@northwestchurch.tv.

Browse Files

Cancel of
List all academic honors you have received, including Honor Roll, National Honor Society, Beta Club, National Merit Scholar, etc. (Explain and give dates.) *
List all extracurricular High School Activities (Music Groups, Sports Teams, Clubs, Organizations, Community Activities). *
List employment with dates of employment.
Church Participation
Church Name *
Church Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Pastor's Name *

First Name Last Name
Christian Information (Date of Conversion, Water Baptism, Description of personal spiritual growth and maturity) *
Short Answer/Essay
Describe your leadership potential through your involvement in a church and your school/community. *
Describe your dedicated walk with God and a commitment to use your gifts toward kingdom expansion. *
Describe the career/study path you plan to pursue in college and how that degree will be used to make a difference for the Kingdom of God. *
References

Please direct your Senior Pastor, Youth Pastor, and a school teacher/coach to the reference form on our website next to this application or forward this link: https://form.jotform.com/201464758154155
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Signature *

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Lisa Lyons Scholarship Application Form

Personal Information

High School Information

Church Participation

Short Answer/Essay

References

Signature