Memorial Scholarship

Full Name *

Home address *

Cell phone *

Home phone *

Email address *

Date of birth *

Parent / Guardian (applicants under 18)

Parent / guardian name *

Guardian phone *

Home church *

Pastor *

Areas where you are active in your church *

Current high school / college *

Expected graduation date *

Grade point average *

High school — name, grade level, expected graduation *

College / vocational program — name, credits earned, expected graduation *

Holy Light Church New Generations activities & leadership roles

School activities & leadership roles

Community & leisure activities (be specific, include any leadership roles)

Recognition, awards, and honors (school, church, work, community) *

1. Give a summary of your personal and educational goals (Approximately 100 words.). *

2. How has Holy Light Church of Deliverance influenced your journey of faith? Approximately 100 words. *

3. How will receiving this scholarship help you be a positive influence in your church or community? Approximately 100 words. *

4. Explain why this scholarship is important to you. Approximately 100 words. *

Reference 1 *

Phone Number *

How you know this person *

Reference 2 *

Phone (Reference 2) *

How you know this person (Reference 2) *

Current transcript *

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1st letter of recommendation *

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2nd letter of recommendation *

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Recent photo *

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