Lisa Lyons Scholarship Application Form
A $2,500 scholarship for the 2023-2024 academic year, awarded to an outstanding high school senior or college student enrolled in an Assemblies of God College or University who is a permanent resident of Arkansas with at least a 3.0 GPA.
Name
*
First
Last
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone
Address
*
Street Address
Street Address Line 2
City
State
Zip Code
Total Household Income from Previous Year
*
Give a short description of the Financial Need.
*
High School Information
High School
*
Name of High School
High School Address
*
Street Address
Street Address Line 2
City
State
Zip Code
Expected Graduation Date
*
Year
Current GPA
*
ACT Score
*
Please upload a copy of your transcript. (If you cannot upload, email transcript to scholarship@northwestchurch.tv.
Browse Files
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List all academic honors you have received, including Honor Roll, National Honor Society, Beta Club, National Merit Scholar, etc. (Explain and give dates.)
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List all extracurricular High School Activities (Music Groups, Sports Teams, Clubs, Organizations, Community Activities).
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List employment with dates of employment.
Church Participation
Church Name
*
Church Address
*
Street Address
Street Address Line 2
City
State
Zip Code
Pastor's Name
*
First
Last
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.
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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/222678989788184
Signature
Signature
*
Use your mouse or touch screen to digitally sign your name.
Submit
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