Johnson Family Scholarship Application

Johnson Family Scholarship

In honor of Rev. Sam Johnson Sr., Mr. Wilmar Elliott, Mother Opal and Richard Johnson this scholarship provides financial support for students in pursuit of higher educational learning. Please complete and submit this form
Student Name *

First Name Middle Initial Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Age:
Gender
Contact Number *

Area Code Phone Number
E-mail *
Are you a Member of Highland Christian Center *

Yes No
School Attending? *
Is this a trade school?

Yes No
Current enrollment: *
Select One
Current Major
Current cumulative GPA :
Expected Graduation Date
Have you received a Johnson Family Scholarship within the last two years?

Yes No
Briefly describe why you are applying for this scholarship and how will this scholarship help further your education? *

0/350
What are your educational and post-graduation goals? *

0/350
What role does/will your faith play in your academic pursuit (optional)?

0/300
List volunteer or community service activities (if none, please state none): *

0/300
List Leadership Accomplishments or Awards?

0/350
What is your financial need?

$100 - $400 $500 - $800 $900 - $1,200
By what date do you need the funds?

Month Day Year
Date
Please provide proof of enrollment, school registration or a copy of your class schedule:

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If an award is granted, funds will be directly sent to the Institution.

Please provide the address of the school/Institute where the funds will need to be mailed.
School / Institute Name
Department:
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
School Phone Number

Area Code Phone Number
Student Name:

First Name Last Name
Student ID number
A submission of this application does not guarantee a scholarship.

Scholarship awards are based on funding.
Please verify that you are human *
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