Saint Luke's College Scholarship Application

Awarded annually by an anonymous donor of Saint Luke's Presbyterian Church, this scholarship will be
given to a deserving high school senior who is enrolling as a full-time student in an accredited 4-year college

or university in the United States. The student must be an active participant in the ministry and mission of Saint Luke’s Presbyterian Church. Special consideration may be given to those students who plan to major in Science, Technology, Engineering, or Math (STEM).The amount of the scholarship is $2,500.

PERSONAL INFORMATION

Applicant's Full Name: ______

Applicant's Address: ______

Applicant's Email Address: ______

Date and Place of Birth: ______

Father's Name: ______

Mother's Name: ______

List two occupations you are most seriously considering, in order of preference:

1. ______2. ______

List the two colleges/universities you are most interested in attending and circle the one(s) to which
you have been accepted:

1. ______2. ______

Please provide 2 references outside of your family. The scholarship committee may contact these
people to gather more information. Be sure and provide contact information and your relationship to
them (e.g., friend, counselor, pastor)

1. ______

2. ______

SCHOLASTIC AND CIVIC INFORMATION

High School: ______Graduation Date: ______

GPA Weighted: ______GPA Un-weighted: ______Class Rank: ______

List other scholarships for which you have applied: ______

List scholarships already awarded to you: ______

On a separate sheet of paper, submit the following information, including respective dates and/or
time-frames:

  • Participation in extra-curricular school activities
  • Offices held in school organizations or in class
  • Honors and awards in high school
  • Out of school activities, offices held and awards
  • Participation in Saint Luke's Activities
  • Summer jobs or part-time jobs
  • School transcript

Please write a brief essay:

Thinking back over the last four years, describe an experience (good or bad) that has changed
you and explain why.

Date:______Signature*:______

*By signing this document, you declare that all information submitted in your application is truthful
and correct, to the best of your knowledge. Please note that the scholarship committee may verify
information by contacting the appropriate individuals. Applications may be disqualified if
information is omitted.Deadline for applications is April 14, 2018.

Mail or drop off the completed application forms to the church office

1978 Mount Vernon Rd. Dunwoody, GA 30338

Or email a scanned image to

Please note that the scholarship award will be paid directly to the educational institution on behalf of
the selected student.