Check List: Please place a check mark in the box for each item you’ve completed,
and place your initials on the line by each item.
r ______I have been Baptized (according to the Baptist Faith).
r ______I have been a member of FABC for at least one (1) year.
r ______I have completed all required sections of this application.
r ______I have attached a picture.
r ______I have requested that my High School mail my academic transcripts to FABC, and I will
follow-up with my school to confirm that the transcript has been mailed.
r ______I have requested my High School Teacher to complete the Recommendation Form, and I have
enclosed the form with this application.
r ______I have enclosed with this application my College Acceptance Letter.
r ______I have attended Sunday School and/or Bible Study on a regular basis.
r ______I have requested my FABC Sunday School or FABC Bible Study teacher to complete
the Attendance Confirmation Form, which I have enclosed with this application.
r ______I have received and read the Scholarship Information Sheet which outlines my requirements.
r ______I have signed this application.
r ______I am submitting all required documents by the posted Deadline Date (see below).
Please remember to request your High School to mail your official academic transcript to the address below. Also, make sure all required documents are submitted to FABC Scholarship Committee timely. Incomplete applications or applications for which required documents are missing will not be considered. All information/documents must be received by
June 15, 2017 WITHOUT EXCEPTION.
NOTE: It is the student’s responsibility to make sure all documents are submitted timely, and/or follow-up with the representatives who will submit documents on your behalf (i.e. Contacting your High School regarding your academic transcript, and/or your Sunday School or Bible Study Teacher, etc.)
To the best of my knowledge, all information provided in this application is true and accurate.
______
Student’s Signature Date
______
Parent’s Signature Date
MAIL TO:
FRANKLIN AVENUE BAPTIST CHURCH
SCHOLARSHIP COMMITTEE
2515 FRANKLIN AVENUE
NEW ORLEANS, LA 70117
2017 HIGH SCHOOL GRADUATES
SCHOLARSHIP APPLICATION
(APPLICATION MUST BE COMPLETED AND SIGNED BY STUDENT & PARENT)
Please print or type. You must complete all four pages of this application.
1. Name ______
Last First Middle
2. Male o Female o 3. Single o Married o
4. Mailing Address ______
Street City State Zip Code
5. Permanent Residence (if different from above) ______
Street City State Zip Code
6. Cell Phone: ( ) ______7. Home Telephone ( ) ______
8. E-Mail Address (student’s email only) ______
9. Date of Birth: ______10. City & State of Birth ______
11. Parent(s) or Guardian (s) ______
Parents’ Address (if different from above) ______
Street City State Zip Code
Parent’s Cell Phone: ( ) ______Home Telephone ( ) ______
Parent’s E-Mail Address ______
12. List below all high schools you have attended (in chronological order beginning with the most recent).
School / City / State / Dates of Attendance / Grade Point Average / Date of Graduation13. High School Grade Point Average (GPA): ______
ACT or SAT Score: ______Date Test Taken: ______
14. Please list the names of the Universities/Colleges/Technical/Trade schools to which you are applying.
School Name / Address / Acceptedo Yes o No
o Yes o No
o Yes o No
15. Briefly describe any scholastic distinctions or honors you have received since the ninth grade.
______
______
16. Please list all universities/colleges/vocational schools you have attended or are currently enrolled prior to graduating from high school.
School Name / Address / Term(s) of enrollment(complete the year for term enrolled) / CUM. GPA
Fall 201__ / Spring 201__ / Sum 201__
Fall 201__ / Spring 201__ / Sum 201__
Fall 201__ / Spring 201__ / Sum 201__
Fall 201__ / Spring 201__ / Sum 201__
Fall 201__ / Spring 201__ / Sum 201__
Fall 201__ / Spring 201__ / Sum 201__
17. Number of years a member at Franklin Avenue Baptist Church: ______Membership No. ______
18. Year of baptism______. If not baptized at FABC, name of church ______and
Pastor ______.
19. Please write a paragraph expressing a complete thought on why you would like to be
considered for a Franklin Avenue Baptist Church Scholarship (use an additional sheet if necessary).
______
______
______
______
______
______
______
______
______
Revised April 2017