Course Enrollment Information
Standard scholarship application form based on the PDF reference.
Applicant Information
Full Legal Name
*
First Name
Middle Name
Last Name
Preferred Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred Method of Contact
*
Please Select
Email
Phone call
Text message
Affiliation and Referral
Connection to Greater Bethesda Baptist Church or Career Development Ministry
*
Please Select
Church member
Career Development Ministry participant
Referred by the church or ministry
Community participant (no church affiliation)
Other
If Other, briefly describe
How did you hear about this scholarship?
*
Eligibility and Program Commitment Questions
Are you at least 18 years old?
*
Please Select
Yes
No
Do you have a working email address you check regularly?
*
Please Select
Yes
No
Do you have reasonable access to an internet-connected device?
*
Please Select
Yes
No
Are you willing to learn basic AI and digital tools, even if you have never used them before?
*
Please Select
Yes
No
Are you willing to complete the full program?
*
Please Select
Yes
No
Are you willing to complete the required lessons and activities?
*
Please Select
Yes
No
Are you willing to complete the 30-Day Action Project?
*
Please Select
Yes
No
Are you willing to complete the beginning-of-program and end-of-program assessments?
*
Please Select
Yes
No
Are you willing to provide honest feedback about your experience in the program?
*
Please Select
Yes
No
Essay Responses
Career journey and goals
*
Why is this program important and how will the scholarship help?
*
Commitment example
*
Founding Cohort Commitments and Certifications
Founding Cohort Commitment 1
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I understand this is a founding cohort opportunity and I commit to participating in good faith.
Founding Cohort Commitment 2
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I commit to attending required orientation and cohort activities.
Founding Cohort Commitment 3
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I will complete assigned program tasks and deliverables on time.
Founding Cohort Commitment 4
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I will communicate promptly if I encounter barriers to participation.
Founding Cohort Commitment 5
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I will engage respectfully with other cohort members and program staff.
Founding Cohort Commitment 6
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I understand cohort participation may include feedback, reflection, and progress check-ins.
Founding Cohort Commitment 7
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I will follow program guidelines and any shared deadlines.
Founding Cohort Commitment 8
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I am prepared to contribute to the success of the inaugural cohort.
AI Use Acknowledgment
*
I acknowledge that any use of AI tools in this application has followed the program's guidance and my responses are my own.
Certification 1
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I certify that the information provided is true and complete to the best of my knowledge.
Certification 2
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I certify that I meet the stated eligibility requirements for this scholarship.
Certification 3
*
I understand that submission of false or misleading information may affect my application status.
Certification 4
*
I consent to the review of my application materials by the scholarship committee.
Certification 5
*
I agree to comply with all program terms and conditions if selected.
Typed Name
*
First Name
Middle Name
Last Name
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Electronic Certification
*
I certify electronically that I have read, understood, and agree to the statements above.
Submit
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