ICC 2026 College Scholarship Application Form

ICC 2026 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
In a 3-5 minute video, please share your testimony on what led you to accept God as your Savior and what made you decide to follow Him?

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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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Please upload the remittance information for your selected college or university. Be sure to verify that all details are accurate before submitting, as incorrect or incomplete information may delay the processing of your scholarship payment.

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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
Name of Applicant

First NameLast Name
Date Signed by Applicant

MonthDayYear
Date
Should be Empty:

ICC 2026 Scholarship Application