Clark Kern Scholarship Application

Clark Kern Memorial Scholarship Application

established in honor of Clark Wilkins Kern 6/29/1995-4/3/2016
Clark Wilkins Kern was born on June 29, 1995, and was known for his kindness, intelligence, and love for family and friends. He enjoyed reading, playing video games, watching movies—especially Star Wars and superhero films—and dreamed of becoming an investigator and traveling the world.

Clark attended Christian Ministries Academy (CMA) from kindergarten through his 2013 graduation, excelling in academics, sports, drama, and student leadership. At seven, he was diagnosed with a spinal tumor, underwent surgery, and tested negative for neurofibromatosis 2 (NF2). However, in his junior year, his hearing deteriorated, leading to an NF2 diagnosis. A brain surgery during his senior year left him with hearing loss in one ear, facial paralysis, and balance issues, yet he remained resilient and graduated with strong grades, planning to attend college.

Despite additional surgeries and later seizures, Clark’s courage and positivity inspired those around him. On April 3, 2016, he passed away at just 20 years old. His memory lives on through the Clark Kern Memorial Scholarship Fund, supporting CMA graduates in pursuing their dreams.
Clark Kern Scholarship Application

For CMA Graduating Seniors
Scholarship Eligibility Requirements:
• Graduating senior from CMA
• GPA cumulative of 3.0 or higher
• Active member of a local Christian church
• Portrayal of good leadership and character qualities
• Volunteer service in a youth group, church, and/or community
• Plan to attend a 2-year college, a 4-year college, or an internship (12 credit hours for the first semester of college or internship with a specific curriculum)
• Recommendation letters from your youth pastor or pastor and a respected adult (other than a relative or CMA teacher) who knows you well.
Name of Applicant *

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*

Area CodePhone Number
How many years have you attended CMA *
Cumulative GPA*
ACT Score
Name of church you attend regularly
Pastor's Name: *

First NameLast Name
Pastor's Phone Number:*
Pastor's Email: *
example@example.com
Name of Youth Pastor*

First NameLast Name
Youth Pastor's Phone Number *
Youth Pastor's Email:*
example@example.com
Name of a respected adult that knows you well and is willing to give a recommendation (cannot be a CMA Teacher of relative): *

First NameLast Name
Phone Number*

Area CodePhone Number
Email*
example@example.com
To what college(s) or internships have you been accepted? *
Please list any extracurricular activities (school, sports, church, community, or job) in which you have participated. *
Please list any leadership roles, achievement awards, or merit-based accomplishments: *
Please submit an essay ( 500 words max) that includes your life goals, your academic plans to pursue those goals, and how you see God using you to better society and further his kingdom. Please include any challenging life experiences or hardships you have encountered and how they have affected your life. Explain how you might use these experiences positively in your life and/or to help those around you. *

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Clark Kern Memorial Scholarship Application

Clark Kern Scholarship Application