The Reverend Doctor John Q. Gibbs 2026 Scholarship

The Rev. Dr. John Q. Gibbs 2026 Scholarship

Application Deadline: Sunday, April 19, 2026
Student Name*

First NameLast Name
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Name

First NameLast Name
Parent/Guardian Email Address*
example@example.com
Parent/Guardian Email Address
example@example.com
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone Number (Include Area Code)*
Format: (000) 000-0000.
Date of Birth*

MonthDayYear
Date
Graduate’s Email Address*
example@example.com
High School (Include City and State)*
Date of Graduation*

MonthDayYear
Date
High School and Community Clubs, Organizations & Activities:

List the student clubs, organizations or activities (e.g., extracurricular) you have been actively involved with over the past four years.
Club, Organization or Activity
Years of Participation (Include Date)

MonthDayYear
Date
Office/Position Held
Club, Organization or Activity
Years of Participation (Include Date)

MonthDayYear
Date
Office/Position Held
Club, Organization or Activity
Years of Participation (Include Date)

MonthDayYear
Date
Office/Position Held
Club, Organization or Activity
Years of Participation (Include Date)

MonthDayYear
Date
Office/Position Held
Honors and Awards:

List any honors or awards you have received within the past four years.
Honor/Award
Date Received

MonthDayYear
Date
Honor/Award
Date Received

MonthDayYear
Date
Honor/Award
Date Received

MonthDayYear
Date
Other Scholarships Received (Include Date(s) Received)
YESNO
Antioch Baptist Church Ministries in Which You Actively Serve(d):
YESNO
If so, what school will you be attending, Name of Institution (Include City and State)
Major/Minor
Professional Goals*
Additional Information: Please provide any additional information you would like the selection committee to consider while reviewing your application (including but not limited to: first-generation college student; cumulative GPA; ACT or SAT score; student service hours earned; high school or community-related activities or recognitions; employment opportunities.)
Word Essay (500-650 words): Please discuss how you know you are saved. In addition, please describe how your relationship with Christ has changed/impacted your life.*

0/650
I hereby certify that the information provided above is true and accurate to the best of my knowledge and belief.
Signature*

Clear
Date*

MonthDayYear
Date
Please provide a high resolution scan of a picture to be use for our graduation program when you submit your application.*

Cancelof
Should be Empty:

The Rev. Dr. John Q. Gibbs 2026 Scholarship

High School and Community Clubs, Organizations & Activities:

Honors and Awards: