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UBC S.A.F.E. Scholarship-First Year Students
STUDENT ASSISTANCE FUND FOR EDUCATION SCHOLARSHIP APPLICATION - FIRST YEAR STUDENTS

REV. DR. CAMPBELL B. SINGLETON, III, PASTOR - Union Baptist Church of Montclair

Email address *
Personal Information
Name *
Your answer
Home Address *
Your answer
Home Phone # *
Your answer
School Address *
Your answer
School Phone # *
Your answer
Cell Phone # *
Your answer
H.S./Post-Secondary Information
(Current) College/University *
Your answer
(Current) Course of Study/Degree *
Ex: Bachelor of Arts Degree in Communication
Your answer
Cumulative GPA *
Applicant must submit college transcript. GPA must be verified by university transcript to determine eligibility.
Your answer
Are you a full-time or part-time student? *
Full-Time (12 credits or more) / Part-Time (less than 12 credits)
Expected Date of Graduation *
Your answer
List all Secondary & Higher Education Institutions Attended *
Your answer
Extracurricular Activities
(Athletics, Internships, Clubs/Organizations) : Name the organization and briefly explain its purpose, include dates of involvement and any leadership positions held.
Activity #1 *
Your answer
Activity #2
Your answer
Activity #3
Your answer
Activity #4
Your answer
Activity #5
Your answer
Activity #6
Your answer
References
Each applicant should include three (3) references. (References can not be family members) Include individual's name, title, company/organization and contact information (email/phone #)
Reference #1 *
Your answer
Reference #2 *
Your answer
Reference #3 *
Your answer
Essay Responses
Maximum word count 500 words
Question #1: As a college student, resident or commuter, what two experiences have prompted you to draw from your Christian foundation? *
Your answer
Additional space for response to question #1
Your answer
Question #2: : If you have chosen a major, how did you become interested in your major? What influenced your choice to focus on this area? *
If you are currently undecided, discuss what your interests are for selecting a major.
Your answer
Additional space for response to question #2
Your answer
Question #3: As a result of your collegiate experiences, what advice would you give to the current high school seniors at Union Baptist Church? *
Your answer
Additional space for response to question #3
Your answer
Question #4: Describe one of your most meaningful achievements. How does this achievement relate to your future goals? *
Your answer
Additional space for response to question #4
Your answer
Church Information
Are you a member of Union Baptist Church? *
If neither situation apply to you, indicate N/A in the answer section
Required
Ministry Participation *
List the ministries you have served on at Union.
Your answer
Have you previously received a scholarship? If so what year(s). *
Your answer
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