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Events
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Scholarships
William E. Flippin, Sr. Leadership Award
The William E. Flippin Sr. Leadership Award Application
The William E. Flippin Sr. Leadership Award Application
Date
(Required)
MM slash DD slash YYYY
Applicant's Name
(Required)
First
Middle
Last
Age
(Required)
Date of Birth
(Required)
MM slash DD slash YYYY
Gender
(Required)
Male
Female
Address
(Required)
Street Address
City
State / Province / Region
ZIP / Postal Code
Student's Telephone
(Required)
Parent/Guardian Telephone
Email Address (Student)
(Required)
Email Address (Parent/Guardian)
Are you a member of The Greater Piney Grove Baptist Church?
(Required)
Yes
No
If yes, how long have you been a member?
Membership Number
Have you applied for the Frank Jones Memorial Scholarship?
(Required)
Yes
No (If no, please complete the FJMS application.)
Name of High School Attended
(Required)
GPA
(Required)
SAT/ACT Test Scores
(Required)
Graduation Date
(Required)
MM slash DD slash YYYY
FUTURE EDUCATIONAL PLANS
Name of College you plan to Attend
(Required)
Course of Study
(Required)
Have you been accepted?
(Required)
Yes (If yes, please submit a copy of your acceptance letter.)
No
Will you attend school full time?
(Required)
Yes
No
Have you completed your FAFSA (Free Application for Student Aid)
(Required)
Yes
No
Have you applied for any other Scholarships or Grants?
(Required)
Yes
No
Have you been awarded any other Scholarships or Grants?
(Required)
Yes
No
PARTICIPATION / LEADERSHIP
The following requires participation verification on the organization’s letterhead indicating your leadership position, (i.e. president, secretary, treasurer, etc.) dates of your service, and sponsor(s) signature. (Applications with missing sponsor signatures on verification letters will be considered incomplete applications.)
1. List names of all of the activities/ministries you participated in at The Greater Piney Grove Baptist Church and include your leadership position and dates served for each entry. (Attach additional sheets if needed.)
(Required)
2. List names of all organizations you participated in High School and include your leadership position and dates served for each entry. (Attach additional sheets if needed.)
(Required)
3. List the names of all organizations you participated in in your community and include your leadership position and dates served for each entry. (Attach additional sheets if needed.)
(Required)
4. List community projects sponsored by our church that you have participated in. (Attach additional sheets if needed.)
(Required)
Upload Documents
Drop files here or
Select files
Accepted file types: jpg, png, pdf, Max. file size: 50 MB.
Disclaimer: By signing below I give permission to the Frank Jones Memorial Scholarship Commission, Inc. to use my name and pictures in any printed or video materials they may use for marketing promotions by the Commission.
Applicant’s Signature
(Required)
Parent/Guardian Signature
(Required)
Thank You,
FJMS Commission
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