2026-2027 African American Church Planters Scholarship Application
Personal Data
Name
*
First Name
Last Name
Age
*
Birthdate
-
Month
-
Day
Year
Date
Applicant Status
*
New
Renewal
Seminary Attending
Semester First Enrolled (ex. Fall 2020)
*
Anticipated Graduation Date (ex. May 2021)
*
Marital Status
*
Single
Married
Separated
Divorced
Widowed
Mailing Address
*
Mailing Address
Mailing Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Cell Phone Number
*
Total Gross Family Income
*
Spouse's Name/Occupation
Number of children
Is spouse currently enrolled in seminary?
Yes
No
Scholastic Data
LA High School Graduated/City
*
High School Graduation Date
*
College Graduated/City
*
College Graduation Date
*
Degree Earned
*
Cumulative College GPA
*
Seminary Attending
*
New Orleans Baptist Theological Seminary
Degree you are pursuing?
*
Extension Center/City
Religious Data
Christian how many years?
*
Name of Louisiana Baptist Church currently planting or Church Revitalization/City?
*
Sponsoring Church/City
*
Please include a summary of your Christian walk up to this time in your life. Include what you believe the Lord has called you to do in a church related vocation. (at least 150 words)
*
References
Associational Missions Strategist/Director of Missions
*
Email
*
example@example.com
Sponsoring Church Pastor
*
Email
*
example@example.com
Signature
*
Submit
Should be Empty: