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UBC S.A.F.E. Scholarship-H.S. Seniors
STUDENT ASSISTANCE FUND FOR EDUCATION SCHOLARSHIP APPLICATION - H.S. SENIORS
REV. DR. CAMPBELL B. SINGLETON, III, PASTOR - Union Baptist Church of Montclair
* Indicates required question
Personal Information
Name
*
Your answer
Home Address
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Your answer
Home Phone #
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Your answer
School Address
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Your answer
School Phone #
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Your answer
Cell Phone #
*
Your answer
H.S./Post-Secondary Information
High School
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Your answer
Current H.S. Grade Point Average (GPA)
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Your answer
What colleges/universities have you applied to/been accepted to already?
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Your answer
What college/university will you attend in the fall?
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Your answer
(Anticipated) Course of Study/Degree
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Ex: Bachelor of Arts Degree in Communication
Your answer
Will you be attending full-time or part-time?
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Full time
Part time
Expected Date of Graduation
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Your answer
List all Secondary & Higher Education Institutions Attended
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Include school name, location and dates of attendance
Your answer
Extracurricular Activities
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 #)
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
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Your answer
Reference #2
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Your answer
Reference #3
*
Your answer
Essay Responses
Maximum word count 500 words
If you received this scholarship, what would that mean to you?
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Your answer
Additional space for response to question #1
Your answer
Question #2: What are your future career and/or educational goals upon obtaining this degree??
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Your answer
Additional space for response to question #2
Your answer
Question #3: What past experience has had the most impact on your educational and/or career goals?
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Your answer
Additional space for response to question #3
Your answer
Question #4: What ways have you contributed to life in Union and in what ways are you committed to serve in future?
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Your answer
Additional space for response to question #4
Your answer
Church Information
Are you a member of Union Baptist Church?
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If neither situation apply to you, indicate N/A in the answer section
YES
NO
Required
Ministry Participation
*
List the ministries you have served on at Union.
Your answer
Have you previously received a scholarship? If so what years.
*
Your answer
Submit
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