INTERNATIONAL ASSOCIATION OF CHRISTIAN COLLEGIATE ATHLETESIACCA SCHOLARSHIP PROGRAM | STUDENT APPLICATIONSCHOLARSHIP APPLICATION
For Middle School, High School, and College Students
Thank you for your interest in an IACCA scholarship. The International Association of Christian Collegiate Athletes (IACCA) seeks to recognize and encourage students who demonstrate Christian values, strong character, academic commitment, leadership, service, and/or athletic dedication. Scholarship opportunities may vary by age/grade level and award cycle. Complete all applicable sections and provide accurate information. Submission does not guarantee an award.
Application cycle:
End of Fall Semester
End of Spring Semester
Other specified value
Application ID (office use):
SECTION 1 — STUDENT INFORMATION
Full legal name:
*
First Name
Last Name
Preferred name (if different):
First Name
Last Name
Date of birth:
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Email address:
*
example@example.com
Phone number:
*
Format: (000) 000-0000.
Mailing address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Current grade/academic level:
Middle School
High School
College/University
Other
Current school or institution:
School city/state:
Expected graduation date:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Intended college/institution (if applicable):
SECTION 2 — SCHOLARSHIP INTEREST
SECTION 2 — SCHOLARSHIP INTEREST Options
Christian Character & Faith
Academic Excellence
Christian Student-Athlete
Church/Ministry Leadership
Community Service
Emerging Christian Leader
Educational Opportunity/Financial Need
Overcoming Adversity
IACCA Scholarship Program • Faith. Character. Learning. Service. | Page 1
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Scholarship Consideration
Career & Calling
Christlike Sportsmanship
Open to consideration for any award
If applying for a specific scholarship, explain why you believe you qualify:
SECTION 3 — FAITH, CHARACTER & PERSONAL GROWTH
Briefly describe your Christian faith and how it influences your daily choices:
Describe a time you demonstrated integrity, humility, perseverance, or compassion:
What does serving others mean to you? Give an example:
SECTION 4 — ACADEMICS, LEADERSHIP & SERVICE
Academic achievements, honors, or goals:
Church, school, team, or community leadership roles:
Volunteer service, ministry involvement, or community contributions:
Clubs, activities, or extracurricular involvement:
SECTION 5 — ATHLETIC INFORMATION (IF APPLICABLE)
Sport(s) and position/event:
Team, club, or school participation:
Athletic achievements or honors:
How do you demonstrate sportsmanship and Christlike conduct in competition?
Coach name and contact information (if applicable):
IACCA Scholarship Program • Faith. Character. Learning. Service. | Page 2
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SECTION 6 — GOALS & EDUCATIONAL OPPORTUNITY
What are your educational, career, or calling goals?
How would a scholarship help you pursue these goals?
Describe any challenges or circumstances you would like the committee to consider (optional):
SECTION 7 — REFERENCES
Provide at least one adult reference who can speak to your character, faith, academics, leadership, service, or athletic conduct. References should not be members of your immediate household. IACCA may contact references to verify information.
Reference 1 — Full name:
First Name
Last Name
Relationship to applicant:
Email address:
example@example.com
Phone number:
Format: (000) 000-0000.
Reference 2 — Full name (optional):
First Name
Last Name
Relationship to applicant:
Email address:
example@example.com
Phone number:
Format: (000) 000-0000.
SECTION 8 — PARENT/GUARDIAN INFORMATION (IF APPLICANT IS UNDER 18)
Parent/guardian full name:
First Name
Last Name
Relationship to student:
Parent/guardian email:
example@example.com
Parent/guardian phone:
Format: (000) 000-0000.
Applicants under 18 must submit the separate IACCA Parent/Guardian Consent Form. Publicity or photo permission, if requested, must be handled separately and is optional.
IACCA Scholarship Program • Faith. Character. Learning. Service. | Page 3
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SECTION 9 — APPLICANT CERTIFICATION
I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that IACCA may verify submitted information, contact listed references, and request additional documentation relevant to scholarship eligibility. I understand that submitting an application does not guarantee an award and that any award is subject to IACCA's published criteria and available funding.
Applicant electronic signature / printed name:
Date:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Confirmation / Agreement
I confirm the information above is accurate.
I agree to be contacted about this application.
SECTION 10 — OFFICE USE ONLY
Date received:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Application complete?
Yes
No
Reference received?
Yes
No
Guardian consent received (if required)?
Yes
No
N/A
Review status:
Pending
Under Review
Awarded
Not Selected
Award category / amount:
Reviewer notes:
IACCA Scholarship Program • Faith. Character. Learning. Service. | Page 4
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