Sparta Presbyterian Church Member
Bessie Lee Wellborn Duncan Education Fund Application
Maximum Award $1,000.
Personal Information:
Name:_______________________________________________DOB_________________
Address:__________________________________________________________________
__________________________________________________________________
Tele#___________________Cell#_________________email:________________________
Fathers Name:_____________________________________________________________
Address:__________________________________________________________________
__________________________________________________________________
Tele#____________________________________Cell#_____________________________
Mothers Name:____________________________________________________________
Address:__________________________________________________________________
__________________________________________________________________
Tele#____________________________________Cell#_____________________________
Education Information:
School now attending:______________________________________ Grade:__________
Address:__________________________________________________________________
__________________________________________________________________
Tele#_____________________________________________________________________
Course(s) of Study:_________________________________________________________
_________________________________________________________
_________________________________________________________
Extra Curricular Activities:__________________________________________________
__________________________________________________________________________
Clubs:____________________________________________________________________
Honors/Awards received:____________________________________________________
__________________________________________________________________________
College/School planning to attend:_____________________________________________
____________________________________________
Planned Course of Study:____________________________________________________
Degree or Certification Goal:_________________________________________________
Expected date of Completion:_________________________________________________
Employment Information:_____________________________________
_____________________________________________________________________
Church and Civic Involvement:_________________________________
____________________________________________________________
____________________________________________________________
1.Attach a personal statement that includes your long term career goals, why you are making this application, special interests, hobbies etc.
2.Attach a statement from your parent(s) or guardian that includes how they plan to encourage you and their involvement with you in this journey.
Return this application and the above referenced statements to:
Sparta Presbyterian Church, Education Fund Committee,
POB 474 Sparta, NC 28675 (336) 372-5045 on or before April 1st.
3/2010