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Application for Scholarship
Personal Information
Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Citizenship Status
*
U.S. Citizen
Permanent Resident
Resident Alien
If married, name of spouse
First Name
Last Name
Names/ages of dependents
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Academic Information
Name of Southern Baptist Seminary
*
Student Identification Number
*
Address of Seminary
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Seminary Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Degree Program
*
Please Select
Master's
Diploma
PhD/ThM
Doctor of Ministry
Diploma
Will you be attending as a Full or Part Time Student?
Please Select
Full Time Student
Part Time Student
Seminary hours completed
Current cumulative GPA (If current student)
Expected date of graduation
*
Name of Undergraduate School
Undergraduate Major(s)
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Church Membership
Are you a member of a Southern Baptist church in Nevada?
Yes
No
What is the name of your church?
Are you an active member in good standing?
Yes
No
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Ministry Involvement and Goals
Please describe any past or current ministry involvement or positions:
*
Please provide a brief statement of your Christian faith and your experience of coming to faith in Jesus Christ:
*
Please provide a brief statement explaining your call to ministry:
*
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Personal Finances
Current employer(s)
*
Current employer (spouse)
*
How would a scholarship benefit you and your family?
*
Pastoral Reference
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Personal Reference
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
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