Scholarship Form – Agape Embassy Ministries

Student Scholarship Application

Student Information

Name

Address

City / State

ZIP Code

Phone

Parent / Guardian Information

Name(s)

Phone

Academic Information

High School

GPA

Graduation Date

College Information

College / Trade School Name

Intended Major / Field of Study

Activities & Leadership

List church, school, and community activities you have participated in.

Activity

Years involved

Leadership role

+ Add row

Document Uploads

Submit all materials electronically in one packet PDF preferred; Word documents accepted. Incomplete or late applications will not be considered.

Written Essay

High School Transcript

Proof of College / University / Trade School Acceptance

Certification

I certify that the information provided is accurate and complete.

Signature

Date

Letters of recommendation should be emailed directly to kdgraden@agapembassy.org by the person providing the recommendation.