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NEW BEGINNINGS COMMUNITY OUTREACHSCHOLARSHIP
New Beginnings Full Gospel Ministries, Inc. 215 Fourth Street - High Point, NC 27260 - (336) 884-8183 Please complete all portions of the application. TYPE or PRINT in BLACK INK. Last First Middle Birthdate Sex Social Security Number Home Address City State Zip Telephone Alternative Telephone E-mail Address |
| 1. Where do you plan to go to college? | __________________________________________________ |
| 2. What course of study will you follow in college? | __________________________________________________ |
| 3. Where do you attend college? | __________________________________________________ |
| 4. Dates Attended/Major Field of Study: | __________________________________________________ |
| 5. High School you attended: | __________________________________________________ |
| 6. City/State/Graduation Date: | __________________________________________________ |
| 7. List any academic honors you received in high school or college: |
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| 8. List any awards for skill or leadership at school or in the community other than academic honors listed above. Examples: offices held, hobby awards, athletic awards, etc.: |
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| 9. List and describe your role of all community volunteer activities (church work, outreach programs, drug hotline, hospital work, etc.): |
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| 10. Please provide additional information on your education, experience, achievements or goals which you would like the committee to consider. |
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| To the best of my knowledge, the information contained in this application is true and correct.
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Applicant’s Signature Date
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