2027-2028 African American Church Planters Scholarship Application
PERSONAL DATA
Name
*
First Name
Last Name
Age
*
Birthdate
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Applicant Status
*
New
Renewal
Seminary Attending
*
Semester First Enrolled (ex. Fall 2024)
*
Anticipated Graduation Date (ex. May 2029)
*
Marital Status
*
Single
Married
Widowed
Divorced
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Cell Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Total Gross Family Income
*
Spouse Name/Occupation
*
Number of children
*
Is spouse currently enrolled in seminary?
*
Yes
No
SCHOLASTIC DATA
LA High School Graduated: Name & City
*
High School Graduation Date
*
College Graduated: Name & City
*
College Graduation Date
*
Degree Earned
*
Cumulative College GPA
*
Seminary Attending
*
New Orleans Baptist Theological Seminary
Degree you are pursuing
*
Extension Center/City
RELIGIOUS DATA
Christian how many years?
*
Name of Louisiana Baptist Church currently planting or Church Revitalization & City
*
Sponsoring Church & City
*
Please include a summary of your Christian walk up to this time in your life. Include what you believe the Lord has called you to do in a church related vocation. (at least 150 words)
*
REFERENCES
Associational Mission Strategist/Director of Missions
*
AMS Email
*
Sponsoring Church Pastor
*
Sponsoring Church Pastor Email
*
Signature
*
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