Baptist Leadership Award
Personal Information
Social Security Number
Student’s Full Name
First
Middle
Last
Mailing Address
Street Address
Address Line 2
City
State
ZIP Code
Phone
Email
Guidance Counselor’s Name
Grade Point Average
ACT or SAT Score
Please type a written personal statement of your testimony and faith. Include your desire for future service to Christ in the career or vocation you may enter and why a college education is important to you.
Describe your involvement and list your activities including specific positions of leadership and responsibility in High School
Describe your involvement and list your activities including specific positions of leadership and responsibility in Church
Describe your involvement and list your activities including specific positions of leadership and responsibility in Community
Church Information
Name of your Church
Pastor’s Name
Youth Director
Church Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Church Phone
Are you a member of this church?
Yes
No
Student Signature
Date
MM slash DD slash YYYY
Supporting Documents
Drop files here or
Select files
Max. file size: 100 MB.
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