Central Christian Church
Scholarship Application

Central Christian Church Scholarship Application


Each academic year the Central Christian Church offers a scholarship.  This scholarship is
awarded conditioned upon the enrollment of the recipient in an undergraduate/graduate 
course in an accredited college, university, or trade school.

Completed application must be returned by:May 1, 2012
To:   Central Christian Church
        P.O. Box 796,
        Winnsboro, Texas 75494


Please type or print
If more space is needed, please attach additional pages

Applicant:
_____________________________________________________________________________
Last NameFirstMiddleMarital Status
______________________________________________________________________________
Permanent AddressCityStateZip
______________________________________________________________________________
Telephone #             Date of Birth

Parents:
______________________________________________________________________________
Father/Guardian’s Full NameEmployer & PositionAge
______________________________________________________________________________
Address if different from permanent address listed above
______________________________________________________________________________
Mother/Guardian’s Full NameEmployer & PositionAge
______________________________________________________________________________
Address if different from permanent address listed above

Brothers and Sisters:
NameAgeGradeCollege Student Yes/No
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

Gross Yearly Family Income: (check appropriate amount)
0 - 25,000 ___; 26,000 – 40,000 ___; 41,000 – 55,000 ___; 56,000 – 75,000___ ; over 75,000___.

List the name and location of the school(s) where you plan to pursue your education.
_____________________________________________________________________________
_____________________________________________________________________________

Have you been admitted to the college/school where you plan to pursue your studies?
Yes/No___________ Name of School______________________________________________







PAGE 2 OF 2

In order of preference, list career choices:
1)__________ _________________________________________________________________
2) ___________________________________________________________________________
3) ___________________________________________________________________________
Have you completed any college hours? If so how many? ______________________________

List Central Christian Church activities you have participated in.
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

List community service activities, your specific role, when you participated, and how
much time was devoted.
ActivityRoleDateTime
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

List extracurricular activities, clubs, or organizations in which you have participated
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

List major academic and athletic awards or honors you have received both in and out
of school
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

Please list/describe any work experience you have had outside of school.
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

**In a one-page typed essay attached to the application, explain why you think you
deserve this scholarship.  It is suggested that you include information on why you value
an education and how this scholarship will help you acquire your goals in life. We do
not need any letters of reference.

Please sign below and have a parent sign to verify that the information provided in this application
is complete and accurate.

Applicant:_____________________________________________________________________

Parent:_______________________________________________________________________