MT. HEBRON BAPTIST CHURCH  SCHOLARSHIP APPLICATION

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Today's Date: *
Name of Scholarship Applicant: *
Name of the college, university or trade school where the applicant is enrolled: *
College Mailing address  *
College Mailing address CITY *
College Mailing Address STATE *
College Mailing Address ZIP CODE *
College e-mail address *
Student's Cell Phone Number *
Is the scholarship applicant a member of Mt. Hebron Student Ministry in Good Standing? *
Did the scholarship applicant graduate with a diploma from high school? *
Is the applicant enrolled in a college or university for at least twelve (12) credit hours or the equivalent of a full semester load? *
An official college/university Enrollment Verification Letter (available from the University Registrar's Office) indicating the name of the institution and the number of credits for which the applicant is enrolled has been requested and will be or has been submitted. *
Name of Parent or Guardian *
Parent/Guardian Mailing Address *
Parent/Guardian City/State/Zip *
Parent/Guardian Phone Number *
Parent/Guardian's E-Mail Address *
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