Revised 2013

NATIONAL PRIMITIVE BAPTIST CONVENTION

WOMEN’S CONGRESS

GUIDELINES FOR THE PATTON-RAYE SCHOLARSHIP FUND

General Statement: The Scholarship Fund Committee composed of seven members of the Women’s Congress and two members of the General Convention shall grant awards of $1,000.00 to each student approved. The applicants must be current high school graduates entering college or presently enrolled in college.

CRITERIA FOR APPLICANTS:

(1) The applicant must be affiliated with a Primitive Baptist Church which contributes

$100.00 or more for three consecutive years to the C. E. Patton-E. C. Raye

Scholarship Fund.

(2) The applicant is a high school graduate entering or presently enrolled in a college or

university with at least a 2.0 Grade Point Average (GPA). Applicant is eligible to

receive funds only once.

(3) The applicant must complete and submit the attached recommendations:

a. One from the church with which the applicant is affiliated.

b. One from either the principal, counselor or teacher from the high school from

which graduated.

c. One from a citizen of the community in which the applicant resides.

(4) The applicant must submit a final and dated official transcript of their high school

with the date of graduation and GPA or college first semester transcript. Your

transcript must have an official seal or high school’s name stamped and dated.

(5) The applicant must submit their application on the official scholarship form, which

may be obtained from their area representative, along with all data stipulated

(recommendations and transcript). Please enclose a recent photo for the Clarion.

(6) Each church can submit a maximum of one (1) scholarship each year. If more than

one applicant with the necessary requirements are sent, all applications will be

returned by certified mail for your church to decide on one applicant and return on

or before the July 15 deadline.

(7) The application and other materials must be postmarked no later than twelve (12)

midnight, July 15, of each year and addressed to the person designated below. (No

exceptions).

Mail Application, Recommendations, and Transcript with Official Seal to:

Mrs. Juanita Samuels

6433 Hidden Forest Drive

Charlotte, North Carolina 28213

(704) 596-3153

Scholarship Committee:

Mother Juanita Samuels, Chairman – NC Sister Helen Woody- FL

Sister Flossie A. Bell, OH Elder Terry Price – FL

Sister Annie Lee Haywood – TX Mother Blannie Q. Batts, AL

Sister Taleah W. Hill – SC EX-Officio

Sister Shirley Moore – TN

Application for C. E. Patton/E. C. Raye Scholarship

National Primitive Baptist Women’s Congress

Mother Blannie Q. Batts, President

An Auxiliary Of The

National Primitive Baptist Convention

PART I

Name of Applicant _______________________________________________

Address_______________________________________________________

Street City State Zip Code

Phone ( ) ________________________

Date of Birth _______________________________ Age __________ Sex ___________

Parent’s name ____________________________________________________________

Name of Church __________________________________________________________

Address of Church ________________________________________________________

Name of Pastor ___________________________________________________________

Address of Pastor _________________________________________________________

Are you a member of a Primitive Baptist Church? Yes ________ No ________

Do you participate in the Youth Activities? Local ______ District ________ State _____

National _______

Briefly describe the nature of your participation, length of your membership and office:

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

Part II – EDUCATIONAL BACKGROUND AND REFERENCES

Are you a high school graduate? Yes _____ No _____

If the answer is no, do you have an equivalent diploma? Yes _____ No _____

Name of high school/institution from which you graduated:

________________________________________________________________________

Address ________________________________________________________________

City State Zip Code

Date of graduation ________________________________________________________

Name of college in which you will attend and give the address:

________________________________________________________________________

________________________________________________________________________

HIGH SCHOOL REFERENCE:

This is to certify that _________________________________ is a graduate of a standard

Applicant’s Name

high school or received a G. E. D. Diploma.

Name of Institution ________________________________________________________________________

Grade Point Average (GPA) ________________

I hereby recommend this applicant receive a scholarship award based upon his/her

academic ability.

Signed ________________________________________________________________________

Principal or Guidance Counselor

PART III – OTHER REFERENCES

CHURCH:

This is to certify that _________________________________________ is a member of

_______________________________Primitive Baptist Church, and is recommended for

this scholarship. Also our church is a regular contributing participant of the Patton-Raye

Fund.

Signature _______________________________________________________________________

Pastor or Church Clerk

CITIZEN REFERENCE (cannot be a relative):

This is to certify that I have known ________________________________ for ___ years

I recommend that the applicant is a person of good character and deserving of this

Scholarship.

Signature _____________________________________________________________

Address _______________________________________________________________

City State Zip Code