ICC College Scholarship Application Form

ICC 2025 Scholarship Application

If you have questions please email outreach@ingagechurch.org
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Format: (000) 000-0000.
Date of Birth*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How long have you been worshipping at ICC?*
Are you currently serving on a Team? If So, which Team?
Educational Information
Name of High School Or College Currently Attending*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date Graduated or Expected to Graduate*

MonthDayYear
Date
Are you a member of any organization in your school? Please provide information
Please provide any academic achievements or awards you have received (if applicable)
Have you completed any additional community service outside of ICC?
If you have a GED Certificate for High School Equivalency, please provide the information below:
Date received GED Certification

MonthDayYear
Date
Upload here your GED information

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If you are a graduating high school senior, please complete the below questions:
If you are a graduating High School Senior, what College do you plan to attend?
If you are a graduating High School Senior, what State is the College you plan to attend located?
If you are a graduating High School Senior, Do you have a School acceptance letter?
What is your current major or anticipated major of study?*

Required Attachments
Faith is often tested in unexpected ways which shapes our spiritual growth and resilience. In a 3-5 minute video, share a time when you had to stand on faith in the midst of uncertainty or a challenge. *

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Please upload your Transcript*

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Please upload documentation for community service (if applicable)

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Please upload School acceptance letters (if applicable)

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Please upload community services letters (if applicable)

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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.
Applicant's Signature

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Name of Applicant

First NameLast Name
Date Signed by Applicant

MonthDayYear
Date
Should be Empty:

ICC 2025 Scholarship Application