Application - Hope Community Church

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DESTINED TO SUCCEED
Kurk L. Nicholas Jr. & Christopher A. Henderson Scholarship
Bishop Charles E. Rodgers, Senior Pastor
The Nicholas and Henderson Scholarship Fund was
established by Hope Community Church to assist College
Students at Hope Community Church with financial
assistance to those attending a college or university.
Scholarship Awards will be given in amounts ranging from
$250 to $800. The Kurk & Chris “Outstanding” Scholarship
for $1,000 will be awarded to the best applicant with a 3.5
or above GPA.
INCOMPLETE APPLICATION PACKAGES
WILL NOT BE CONSIDERED
Any questions please contact Hope Community Church ~ 1111 Pulaski Pike NW, Huntsville, AL ~ (256) 534-8750
Kurk L. Nicholas Jr. & Christopher A. Henderson Scholarship
For Admin office use only:
Revised 08/2014
Date rec’d _____________
SCHOLARSHIP APPLICATION
DEADLINE: September 14, 2014
1. REQUIREMENTS
To receive consideration you must:
1. Be a member or under Watch-care at Hope Community Church for 6 months.
2. Must be enrolled or have plans of enrolling in a university or community college. Must
provide admission letter from a university or community college.
3. Provide most recent transcript or high school transcripts.
4. Minimum GPA of 2.5 for “Regular Scholarship
5. Minimum GPA of 3.5 or more for Kurk & Chris “Outstanding” Scholarship.
6. Must be a Full-time student.
Please indicate which Scholarship you are applying:
Regular
Kurk & Chris Outstanding
2. SCHOLARSHIP ESSAY (Application will not be considered without this)
Attach a typed, double spaced essay stating your scholastic interest, career goals and objectives
(LIMITED TO 300 WORDS) .
3. PERSONAL ACCOMPLISHMENTS
List all school and/or community honors, employment experiences, athletic participation, and
extracurricular or community service activities that you have been involved in during high school
and/or college.
4. Reference Recommendation Forms (Two Forms required)
Any questions please contact Hope Community Church ~ 1111 Pulaski Pike NW, Huntsville, AL ~ (256) 534-8750
Kurk L. Nicholas Jr. & Christopher A. Henderson Scholarship
STEP ONE: STUDENT INFORMATION
First Name
Middle Initial
Last Name
Permanent
Address
Apt#
City
State
Zip Code
Phone #
Alternate Phone #
Email
D.O.B.
Last four of SSN
Local Address
Apt#
(if different than permanent)
State
City
Phone #
Zip Code
Email Address
UNIVERSITY INFORMATION
College/University
Currently Attending
State
City
Current Level:
Freshman
Zip Code
Sophomore
Junior
Major
Minor
Overall G.P.A.
Credit Hours
Completed To Date
Expected
Graduation Date
Senior
Graduate
Academic Advisor
Any questions please contact Hope Community Church ~ 1111 Pulaski Pike NW, Huntsville, AL ~ (256) 534-8750
Kurk L. Nicholas Jr. & Christopher A. Henderson Scholarship
STEP TWO: Scholarship Essay
On separate sheet provide a Scholarship essay limited to 300 words.
***** (APPLICATIONS WILL NOT BE CONSIDERED IF OMITTED) *****
Please note that the essay portion of this scholarship will be heavily weighted on
sentence structure, grammar, content, and format.
STEP THREE: Church Participation
Are you currently involved in a church activity or auxiliary? If so, please list name of activity or auxiliary
and briefly give description of your involvement.
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Note: The Scholarship committee can/may give extra points to an applicant
actively involved in church work.
STEP FOUR: Personal Accomplishments
Please list any extracurricular activities in which you have been involved (High School /College).
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
_________________________________________________________________________________________
__________________________________________________________________________________________
Any questions please contact Hope Community Church ~ 1111 Pulaski Pike NW, Huntsville, AL ~ (256) 534-8750
Kurk L. Nicholas Jr. & Christopher A. Henderson Scholarship
STEP FOUR: Personal Accomplishments (Continued)
Have you received any school/community honors, special awards or commendations? If so, please list them.
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Please list any affiliations, organizations, and/or community activities in which you are involved.
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Please list your work/intern experiences in detail.
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Any questions please contact Hope Community Church ~ 1111 Pulaski Pike NW, Huntsville, AL ~ (256) 534-8750
Kurk L. Nicholas Jr. & Christopher A. Henderson Scholarship
STEP FIVE: References
TO THE APPLICANT: Please fill out the information below and provide the Recommendation Form (Pages
6/7) to an individual who has direct, personal knowledge of your personal achievements and potential. Do
not include relatives. The information on the form will be treated with confidentiality.
Name of Reference #1 _____________________________________________________________
Address of Reference:_____________________________________________________________
_______________________________________________________________________________
Reference’s Phone ( ) ____________________________________________________________
Reference’s E-Mail Address:_________________________________________________________
Name of Reference #2 ___________________________________________________________
Address of Reference:_____________________________________________________________
_______________________________________________________________________________
Reference’s Phone ( ) ____________________________________________________________
Reference’s E-Mail Address:_________________________________________________________
Certification
By signing and dating this application, I do certify that all the information listed and attachments submitted are
correct, true, and without alteration. I further certify if selected, any addition verification or information required
will be submitted within 2 weeks of selection or I forfeit the scholarship. In addition, I certify that if the Kurk L.
Nicholas Jr. and Chris A. Henderson Scholarship is awarded to me, it will be used solely for financial assistance
to further my higher education at a university or college.
Signature ____________________________________________________Date ___________________
SUBMIT COMPLETED APPLICATION TO:
HOPE COMMUNITY CHURCH
ATTN: ADMIN OFFICE
P.O BOX 141
HUNTSVILLE, AL 35804
Any questions please contact Hope Community Church ~ 1111 Pulaski Pike NW, Huntsville, AL ~ (256) 534-8750
Kurk L. Nicholas Jr. & Christopher A. Henderson Scholarship
Recommendation Form
Applicant: Fill in your name and ask an instructor, counselor, employer, or other non‐related reference source to complete
this form. Your scholarship application will not be considered unless two completed recommendation forms are
received. Recommendations are extremely important when awarding scholarships. Please be sure to have your
recommendation forms completed on‐time by the deadline.
Reference: Complete this recommendation form and return it to the applicant in a sealed envelope with your name written
across the sealed portion of the back of the envelope.
Due Date: September 14, 2014
Applicant’s Name:
Measure
5
Outstanding
4
Very Good
3
Average
2
Below
Average
1
Not
Unsatisfactory Observed
Achievement or Academic Progress
(Quality of work or grades)
Attendance/Reliability
(Class or work attendance/dependability)
Attitude/Cooperation
(Relationship with others)
Communication Skills
(Ability to express ideas)
Leadership
(Judgment and ability to lead & influence)
Motivation
(Initiative, resourcefulness, self‐starter)
Potential for Success
(Ability to set/achieve goals)
Work Habits/Organizational Skills
(Ability to plan, manage and execute)
Comments are recommended: (if you need additional space, please feel free to use the back of this sheet or attach a separate page)
Reference Name:__________________________________________________________________________
Contact Number:___________________________________________________________________________
Please return this form in a sealed envelope with your name written across the sealed portion of the envelope. Return to the student prior to the deadline
date, or send the completed recommendation to: Hope Community Church1111 Pulaski Pike  Huntsville, AL 35816  ATTN: Scholarship Committee
Kurk L. Nicholas Jr. & Christopher A. Henderson Scholarship
Recommendation Form
Applicant: Fill in your name and ask an instructor, counselor, employer, or other non‐related reference source to complete
this form. Your scholarship application will not be considered unless two completed recommendation forms are
received. Recommendations are extremely important when awarding scholarships. Please be sure to have your
recommendation forms completed on‐time by the deadline.
Reference: Complete this recommendation form and return it to the applicant in a sealed envelope with your name written
across the sealed portion of the back of the envelope.
Due Date: September 14, 2014
Applicant’s Name:
Measure
5
Outstanding
4
Very Good
3
Average
2
Below
Average
1
Not
Unsatisfactory Observed
Achievement or Academic Progress
(Quality of work or grades)
Attendance/Reliability
(Class or work attendance/dependability)
Attitude/Cooperation
(Relationship with others)
Communication Skills
(Ability to express ideas)
Leadership
(Judgment and ability to lead & influence)
Motivation
(Initiative, resourcefulness, self‐starter)
Potential for Success
(Ability to set/achieve goals)
Work Habits/Organizational Skills
(Ability to plan, manage and execute)
Comments are recommended: (if you need additional space, please feel free to use the back of this sheet or attach a separate page)
Reference Name:__________________________________________________________________________
Contact Number:___________________________________________________________________________
Please return this form in a sealed envelope with your name written across the sealed portion of the envelope. Return to the student prior to the deadline
date, or send the completed recommendation to: Hope Community Church1111 Pulaski Pike  Huntsville, AL 35816  ATTN: Scholarship Committee
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