JotForm

SCHOLARSHIP APPLICATION FORM

John Wesley A.M.E. Zion church 28001 Evergreen Southfield MI 48076
PERSONAL DATA
Full Name *

First Name Middle Name Last Name
Birth Date *

Month Day Year
Place of Birth *
Home Address *
Phone Number *

- Area Code Phone Number
E-mail *
Father's Name *
Mother's Name *
Parent address *
Next of Kin *
Address of Next of Kin *
INSTITUTION INFORMATION
Name of Institution *
Address of Institution *
Major/Anticipated Major *
Duration of Course *
Do you plan to enroll

Full Time Part Time
Session of Admission *
What is your current GPA *
Admission Type *
Matriculation Number *
REFERESS
Name *
Address *
Name *
Address *
What community and/or extracurricular activities are you involved in:
:
Current school level
If you are currently in high school, please enter your expeted graduation date below.
High school graduation date
Have you ever applied for a John Wesley AMEZ Scholarship?

Yes No
If so when?
If you are to receive an award, whom may we release your award to?
Are you available to assist with the James E Hunter Golf Outing?
Are you available for 4 hoursof Community Service?
Will you be able to attend 10:45 AM service on Education Sunday?
PLEASE CONTACT CHURCH OFFICE FOR SCHEDULED DATE.
What would you like to tell us about you?
Why should you be considered for this scholarship award?
Note: If your GPA is between at 2.0 and 2.4, you will need to provide an explanation here.
Upload transcripts
Upload references
References
Dear applicant,

You must also submit a 300 word essay to complete your application process to be eligible to be considered for a John Wesley AMEZ Church Scholarship.

Your topic is: "Why do I feel higher education will empower me to be more pleasing to God."

Please turn in this 300 word essay, typed or hand written along with your completed application. You must submit this essay by second week of May.
Upload 300 word essay

SCHOLARSHIP APPLICATION FORM

PERSONAL DATA

INSTITUTION INFORMATION

REFERESS