Scholarship Application for First Time Applicants

Application Deadlines:

For the Fall semester: May 1

For the Spring semester: September 1

" * " indicates a required field

Applicant Information

Prefix*

Name (Last, First, Middle)*

Street Address and Apartment Number*

City, State, Zip Code*

Email Address*

Primary Phone Number*

Secondary Phone Number

Date of Birth*

Marital Status*

Local Church Membership (church must be an active member of DCBC)*

Education

College

College Name

College City, State

Date begun

Date completed or to be completed

Have you graduated?

yesno

Degree

Graduate School

Graduate School Name

Grad School City, State

Date begun

Date completed or to be completed

Have you graduated?

yesno

Degree

Other Education:

Program Name

Program City, State

Date begun

Date completed or to be completed

Have you graduated?

yesno

Degree

Seminary

Seminary you (will) attend

Registrar's Name

Seminary Address

Seminary Phone

Degree or Program Pursued

Expected Graduation Date

Fall Semester Year*
20

Number of Credits for which you will enroll for Fall Semester

Spring Semester Year*
20

Number of Credits for which you will enroll for Spring Semester

Summer or Short Term Year*
20

Number of Credits for which you will enroll during Summer or Short Term

Financial Status

Estimated Annual Income

Employer (if any)

Tuition (per semester)

Estimated Cost of Books (per semester)

Estimated Cost of Living (per month)

Assistance you are requesting (per semester)**

**Note the maximum scholarship award the Foundation provides is $4,000 per semester Are you Applying for other Scholarships?

yesno

If yes, where, and what is the status of your request?

Supplemental Documents

Letter of acceptance from the school you plan to attend or most current transcript

A brief summary of your Christian experience and call to ministry

A letter of recommendation from your pastor

First letter of reference from someone other than a relative

Second letter of reference from someone other than a relative

Third letter of reference from someone other than a relative

A copy of the front page only of your most recent federal Accreditation (1040)

A copy of your church current year giving to DCBC

I certify that my answers are true and complete to the best of my knowledge.

I have read the Scholarship Policy and Guidelines of the District of Columbia Baptist Convention Foundation.

Today's Date: