Scholarship Application Form

AGAPE CHRISTIAN FELLOWSHIP COGIC

656 Cherry Street

Hendersonville,NC 28792

agapecogicnc@gmail

www.agapechristianfellowship.church

(828)595-2017
dEBORAH BROADUS-GARY (life long educator) Scholarship Application Form

Application Deadline - April 30, 2024 Award Amount-$1,500!!!
If selected, you will be asked for documentation to support the data you provide during your interview. Likewise, all correspondence and award agreements will be generated from the personal information submitted below. So, please use proper spelling, capitalization and punctuation.
I. Personal Data

Tell us about yourself
Full Name*

First NameLast Name
Birthdate*

MonthDayYear
Mobile No*
Email *
Where the confirmation will be send to
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Optional Informations

Information regarding gender, ethnic origin and race are optional. The information is requested for post-scholarship report generation only and in no way affects your selection for college scholarship awards. However, providing this information may increase your opportunities for scholarships where donors have asked that priority consideration be given to students meeting certain demographic criteria (such as minority status, parent's place of employment, area of study, etc.)
Gender

MaleFemale
Race

Hispanic/LatinoBlack/African-AmericanWhiteAsianAmerican-Indian/Alaska NativeNative Hawaiian or Other Pacific IslanderOther
Are you a US citizen?

YesNo
Please check your status at the time of application.

I will graduate in 2024I have already been accepted to a Community CollegeI have already been accepted to a 4 year UniversityI will start enrollment Fall 2024I will start enrollment Summer 2024
Which High School Do You Attend?

Hendersonville High SchoolEast Henderson High SchoolWest Henderson High SchoolNorth Henderson High School
Are you a first generation college student?

Yes, I am the first among my parents or grandparents to attend college.No, either my parents or grandparents have attended college.
If you are not selected for this scholarship would you still be able to attend college?

YesNoUnsure
Major Area of Study
Please indicate what is your major are of study
II. High School Information
Most recent cumulative GPA
High School activities, community activities, volunteer work, honors, offices held
VI. Extras
Have you ever received any scholarships?

YesNo
Do you have two letters of recommendation from a teacher, mentor or Pastor?

YesNo
Are you available to do a virtual interview in May? (required)

YesNo
If selected, you will be required to attend an award ceremony either May or June 2024 can you do this? (required)

YesNo
Will you be working while attending school?*

YesNo
If so, will you work

Full-timePart-time
VII. Essay
Your essay should be 300-500 words. What do you intend to do with your education, and why is a scholarship important to you. Why are minority educators so important in the school systems? (answer each question)
Essay

0/500
VIII. Applicant's E-Signature
By signing the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.
Signature

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Agape Christian Fellowship Church is committed to equal opportunity in access to funding for education. The Church does not discriminate in any program or activity on the basis of race, color, religion, gender, age, national origin, disability, marital status, or any other protected class.
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dEBORAH BROADUS-GARY (life long educator) Scholarship Application Form

I. Personal Data

II. High School Information

VI. Extras

VII. Essay

VIII. Applicant's E-Signature