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 Church1111 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 Church1111 Pulaski Pike Huntsville, AL 35816 ATTN: Scholarship Committee