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Scholarship Application Form

Application:

*

NAME

*

STREET ADDRESS

*

CITY, STATE, ZIP

*

BEST PHONE#

*

HIGH SCHOOL

*

HIGH SCHOOL GRADUATION DATE (mm/yy)

*

COLLEGE, TECHNICAL OR TRADE SCHOOL

*

STATE DATE (mm/yy)

*

SCHOOL COLORS

*

Select C.N. Jenkins Ministry Affliliations:

(1 required)
Ministry 1   Ministry 2

Other financing options acquired. (ex. Student Loans, Grants, & Scholarships)

Please take time to explain your hardship situation (including the situation, the need, and factors that led to the hardship):

Explain your educational and career goals and how this request (if approved) will aid in attaining those:

If the assistance is NOT awarded, will you be able to continue with your educational and career goals? If no, please explain:

* Enter Your Email Address:

Type in the text that you see above:

  

C.N. Jenkins Memorial Presbyterian Church
1421 Statesville Ave.
Charlotte, NC 28206
Phone: 704-332-9137
admin@cnjenkins.org

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