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UBC Shirley Maxwell Fund Scholarship
SHIRLEY MAXWELL FUND SCHOLARSHIP

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

Email address *
Personal Information
Name *
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Home Address *
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Home Phone # *
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School Address *
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School Phone # *
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Cell Phone # *
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School/Post-Secondary Information
Grade in School *
Your answer
Current Grade Point Average (GPA) *
Your answer
What enrichment programs have you applied to/been accepted to already? *
Your answer
If you receive this scholarship, what program do you plan to participate in and why? *
Your answer
Will you be attending full-time or part-time? *
Extracurricular Activities
List the extracurricular activities you participant in. Include a brief description of the activity, any special recognitions and/or leadership roles related to the activity.
Activity #1 *
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Activity #2
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Activity #3
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Activity #4
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Activity #5
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Activity #6
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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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Reference #2 *
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Reference #3 *
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Essay Responses
Maximum word count 500 words
Question #1: Shirley Maxwell Scholarship was established in 2007 by Union's 6th Pastor, Rev. Elbert Maxwell, in honor of his wife and former First Lady Shirley Maxwell, a devoted wife, mother and prayer warrior. As a seasoned educator, having taught at Montclair High School for a number of years, Sister Maxwell valued youth participation in enrichment programs driven by academic standards. How will your program participation uphold the Christian and academic standards of the Mrs. Shirley Maxwell? *
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Additional space for response to question #1
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Question #2: If you received this award, how will you serve and contribute to Union Baptist Church? *
Your answer
Additional space for response to question #2
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Question #3: What do you hope to learn as a participant in the enrichment program?  *
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Additional space for response to question #3
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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.
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Have you previously received a scholarship? If so what years. *
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A copy of your responses will be emailed to the address you provided.
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