College Scholarship Application Form

Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Date of Birth*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Educational Information
Name of College or University attended*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
GPA*
Date Expected to Graduate*

MonthDayYear
Date
Please provide any academic achievements or awards you have received in College (if there is any)*
Are you a member of any organization outside your school? Please provide information*
Upload a copy of your transcript (can be anunofficial copy).*

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In a one page essay, please share with us your future career aspirations.
Upload essay here*

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Are you a member of any organization in your school? Please provide information*
Parental Information
Name of Mother or Guardian

First NameLast Name
Mother's Job/Position
Address of Mother

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name of Father

First NameLast Name
Father's Job/Position
Address of Father (if not the same as above)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Upload headshot.*

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I CERTIFY THAT ALL STATEMENTS OR INFORMATION I HAVE PROVIDED ABOVE ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. ANY DELIBERATE MISREPRESENTATION FOUND IN THIS APPLICATION MAY BE CAUSE FOR THE APPROVAL OF THIS APPLICATION AND MAY PROHIBIT ME FROM APPLYING AGAIN IN THE FUTURE.

DEADLINE TO APPLY IS MARCH 30, 2025.
Applicant's Signature grants Church Girls, Inc., permission to view the information submitted during the screening process and your image on social media platforms should you be selected as the award receipent.*

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Name of Applicant*

First NameLast Name
Date Signed by Applicant*

MonthDayYear
Date
Should be Empty: