Scholarship Application: The Baptist Foundation of Alabama

Personal Information

Applicant:*
Title:*
First Name:*
Middle:
Last Name:*
Date of Birth:*
Social Security Number:*
Are you an Alabama Resident?*
Alabama County of Residence:*
Address:*
City:*
State:*
Zip:*
Phone:*
Email Address:*
Marital Status:*
Spouse's Name:
Number of dependent children:
Children's Ages:

If you are a dependent

Are you a dependent?*
Fathers Name:
Mothers Name:
No. Dependent Children:
No. Dependent Children in College/Seminary: (Including Applicant)
Total Adjusted Gross Income of Parents or Guardians:	$

Church Membership

Current Church:*
City:*
State:*
Association:	If other, click here.
How long have you attended?*	Year(s) Months(s)

School Information

Name of High School:*

City:*

State:

Year Graduated:

ACT Score:

SAT Score:

Institution you anticipate attending this Fall:*

Address:

City:*

State:

Zip Code:

Indicate classification for the Fall Term*

Location (If attending a Seminary Extension Program):

Major Course of Study:*

Anticipated Graduation Date:

Will you be enrolled as a full-time student?:*

Yes No

Period for which assistance is requested:*

Fall Spring Both

Current GPA:*

Church Related Vocation

Are you preparing yourself for a full-time Church related vocation?*
Ministry for which you are preparing:	Pastoral Music Education International Missions Children Youth Counseling North American Missions Other
Other (If specified.):

Student Financial Information

Student Income
Adjusted Gross Income from Employment:	Student: $ Spouse, if married: $ Total: $
Other Sources of Funding Available:
	Grants & Scholarships: $ PACT Program: $ Other Funds: $ Total Other Sources Funding: $

Submit Application In a few words, explain how you feel your course of study is preparing you for your life's work:*

I hereby certify that the statements and answers included in this application are true and correct.

I further certify that if The Foundation sees fit to approve a grant to me, I will diligently and conscientiously apply myself to the best of my ability in the pursuit of my education. I will maintain the status of a full-time student in good standing in the approved school and that if I withdraw for any reason, from the approved school during any period in which I am receiving assistance from the Trust, I will promptly notify The Foundation.

I understand that any grant to me from The Foundation is based upon representations expressed herein and that misrepresentation will cause the grant to be forfeited. Forfeiture may include repayment of the scholarship funds received.

Click to Agree

Please review your application before submitting.