The Reverend Doctor John Q. Gibbs 2022 Scholarship

The Rev. Dr. John Q. Gibbs 2022 Scholarship
Parent(s)/Guardian(s )Name

First Name Last Name
Parent(s)/Guardian(s) Email Address
example@example.com
Student Name

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Home Phone Number (Include Area Code)
Date of Birth

Month Day Year
Date
Graduate’s Email Address
example@example.com
High School (Include City and State)
Date of Graduation

Month Day Year
Date
High School and Community Clubs, Organizations & Activities:

List the student clubs, organizations or activities (e.g., extracurricular) you have been actively involved with over the past four years.
Club, Organization or Activity
Years of Participation (Include Dates)

Month Day Year
Date
Office/Position Held
Club, Organization or Activity
Years of Participation (Include Dates)

Month Day Year
Date
Office/Position Held
Club, Organization or Activity
Years of Participation (Include Dates)

Month Day Year
Date
Office/Position Held
Club, Organization or Activity
Years of Participation (Include Dates)

Month Day Year
Date
Office/Position Held
Honors and Awards:

List any honors or awards you have received within the past four years.
Honor/Award
Date Received

Month Day Year
Date
Honor/Award
Date Received

Month Day Year
Date
Honor/Award
Date Received

Month Day Year
Date
Other Scholarships Received (Include Date(s) Received)
Antioch Baptist Church Ministries in Which You Actively Serve(d)
Have you been accepted to a four-year college or university, specialty school, or community college?

YES NO
If so, what school will you be attending, Name of Institution (Include City and State)
Major/Minor
Professional Goals
Additional Information: Please provide any additional information you would like the selection committee to consider while reviewing your application (including but not limited to: first-generation college student; cumulative GPA; ACT or SAT score; student service hours earned; high school or community-related activities or recognitions; employment opportunities.
Word Essay (500-650 words): Please discuss how you know you are saved. In addition, please describe how your relationship with Christ has changed/impacted your life.
Please provide a high resolution scan of a picture to be use for our graduation program when you submit your application.

function SvgDhtupload(props) { return /* @__PURE__ */ react.createElement("svg", dhtupload_svg_extends({ width: 54, height: 47, xmlns: "http://www.w3.org/2000/svg" }, props), dhtupload_svg_path || (dhtupload_svg_path = /* @__PURE__ */ react.createElement("path", { d: "M40.213 10.172c1.897.21 3.68.738 5.35 1.58a15.748 15.748 0 014.374 3.242 15.065 15.065 0 012.951 4.533c.72 1.704 1.08 3.522 1.08 5.455 0 1.827-.28 3.654-.843 5.48-.562 1.828-1.379 3.47-2.45 4.929A13.39 13.39 0 0146.669 39c-1.599.948-3.452 1.458-5.56 1.528H37.26a1.62 1.62 0 01-1.185-.5 1.62 1.62 0 01-.501-1.186c0-.457.167-.852.5-1.186.334-.334.73-.5 1.186-.5h3.848c1.44 0 2.75-.37 3.926-1.108a10.851 10.851 0 003.03-2.846 13.53 13.53 0 001.95-3.9 14.23 14.23 0 00.686-4.321c0-1.582-.316-3.066-.949-4.454a11.623 11.623 0 00-2.582-3.636 12.857 12.857 0 00-3.742-2.478 11.054 11.054 0 00-4.48-.922l-1.212-.053-.37-1.159c-.878-2.81-2.292-4.998-4.242-6.562-1.95-1.563-4.594-2.345-7.932-2.345-2.108 0-4.005.36-5.692 1.08-1.686.72-3.136 1.722-4.348 3.005-1.212 1.282-2.143 2.81-2.793 4.585-.65 1.774-.975 3.68-.975 5.718h.053l.105 1.581-1.528.264c-1.863.316-3.444 1.317-4.744 3.004-1.3 1.686-1.95 3.584-1.95 5.692 0 2.39.8 4.462 2.398 6.219 1.599 1.757 3.488 2.635 5.666 2.635h4.849c.492 0 .896.167 1.212.5.316.335.474.73.474 1.187 0 .456-.158.852-.474 1.185-.316.334-.72.501-1.212.501h-4.849a10.08 10.08 0 01-4.374-.975 11.673 11.673 0 01-3.61-2.661 13.173 13.173 0 01-2.478-3.9A12.073 12.073 0 010 28.301c0-2.706.755-5.148 2.266-7.326 1.511-2.178 3.444-3.636 5.798-4.374.14-2.354.658-4.542 1.554-6.562.896-2.02 2.091-3.777 3.584-5.27 1.494-1.494 3.25-2.662 5.27-3.505C20.493.422 22.733 0 25.193 0c1.898 0 3.637.237 5.218.711 1.581.475 3.004 1.151 4.269 2.03a13.518 13.518 0 013.268 3.215 18.628 18.628 0 012.266 4.216zm-11.964 13.44l6.22 6.85c.245.247.368.537.368.87 0 .334-.123.642-.369.923l-.421.263c-.211.246-.484.343-.817.29a1.544 1.544 0 01-.87-.448l-3.69-4.11v16.97c0 .492-.166.896-.5 1.212-.334.316-.729.474-1.186.474-.492 0-.896-.158-1.212-.474-.316-.316-.474-.72-.474-1.212V28.25l-3.584 4.005a1.544 1.544 0 01-.87.448.959.959 0 01-.87-.29l-.42-.264c-.247-.28-.37-.588-.37-.922 0-.334.123-.624.37-.87l6.113-6.746v-.052l.421-.422a.804.804 0 01.396-.29c.158-.053.307-.079.448-.079.175 0 .333.026.474.079.14.053.281.15.422.29l.421.422v.052z", fill: "none" }))); }

Cancel of
Should be Empty:

The Rev. Dr. John Q. Gibbs 2022 Scholarship

High School and Community Clubs, Organizations & Activities:

Honors and Awards: