C.L. HENDERSON MEMORIAL SCHOLARSHIP FUND

Information contained herein is confidential and for the exclusive use of determining eligibility of the C.L. Henderson Scholarship.

The awarded scholarship is Non-Negotiable and the funds will be allocated directly to the listed institution.

This information pertains to the applicant

Name

Date of Biirth

Number of years you have been a member of Greater Zion

Address

Phone

This address will receive a confirmation email

Phone

This Section applies to high school graduates

Name of High School

Address

Guidance Counselor

Contact Number

Grade Point Average (4.0 Scale)

Transcript (Please Attach File)

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College Information

Name of Institution

Address

Intended Major

Degree Sought

Student I.D.

What is your classification? (Current College Students) Freshman Sophomore Junior Senior

Parent / Guardian Information (1)

Parent Guardian Address (If different from applicant) (1)

Contact Number (1)

Occupation (1)

Annual Income (1)

Parent / Guardian Information (2)

Parent Guardian Address (If different from applicant) (2)

Contact Number (2)

Occupation (2)

Annual Income (2)

Name of sibling(s) attending college Fall 2020

Applicants Activities and Achievement (HS Graduates only)

Name, Describe and Date Academic Achievements (All 4 years)

Name, Describe and Date Extra-Curricular Activities and Achievements (All 4 years)

Description

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