Scholarship Application Form
You only need to submit ONE Scholarship Application Form
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Date of Birth
-
Month
-
Day
Year
Date
Are you a member of Ebenezer AME Church? If yes, please submit your membership date. If not, please place NA below.
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Next
List the Name of the School You Currently Attend
Provide the Name of the School You Plan to Attend in the Fall
Anticipated Graduation Date from College
Cumulative GPA (not required for applicants applying for the Jewels Scholarship)
Will you be a full time or part-time student in the Fall?
What will your classification be in the Fall? (Freshman, Sophomore, Junior or Senior)? If you are applying for a Graduate School Scholarship place NA below.
What type of Degree are you seeking? Associates, Bachelors, Graduate
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What is your intended career path? What are your goals for the future?
What Community Service have you done while in school?
Submit
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