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Scholarship Scholarship Criteria & Application: General Life Members Council
Scholarship Scholarship Criteria & Application: General Life Members Council
PART I
Name ______________________________________________________________________________________
Last
First
Middle
Address _____________________________________________________________________________________
Street
City
State
Zip Code
Home Phone: ______________________ Email: __________________ Date of Birth: ______________________
Episcopal District ______________________________ Bishop ________________________________________
Conference ___________________________________ District ________________________________________
Name of A.M.E. Zion School to which you are applying / attending:_____________________________________
Address _____________________________________________________________________________________
Street
City
State
Zip Code
Grade Point Average ______________________ School _____________________________________________
PART II
(Parents consent if under 21)
Parent(s) / Guardian Name ______________________________________________________________________
Print Name and Signature Required
Address, if different from student _________________________________________________________________
Street
City
State
Zip Code
Parent(s) Contact Information:
Father ________________________________________ Phone Number __________________________________
Mother _______________________________________ Phone Number ___________________________________
*Other if not Mother/Father _______________________________________ Phone Number __________________
*Guardian, Foster Parent, Relative and Relationship _________________________________________________
High School Completed _________________________________________________ Year ___________________
School Address ________________________________________________________________________________
Street
City
State
Zip Code
Principals Name _______________________________________________________________________________
Counselors Name ______________________________________________________________________________
Completed application
Copy of acceptance letter
Copy of most recent transcript Grade Point Average of 2.65 or above
Letter of recommendation from the pastor of your local church (if high school student a letter or
recommendation from your counselor)
4) A typed essay to include the following:
a. Reason(s) for applying
d. Personal qualifications
b. Church, School and community activities
e. Career goals
c. Your philosophy of life
5) A recent photo
Mail Application to: