EXAMPLE New Student Scholarship Application

*This is an example of the Mary E.
Bivins Foundation Religious Scholarship Program

Application. The program guidelines and application is subject to change. This example
application can be used for planning and preparation purposes only. All Scholarship
Applications must be submitted through the electronic application portal. The application
typically opens in early January and is due in late February for the upcoming academic year
(the following August through July the next year.)*
EXAMPLE New Student Scholarship Application
Scholarship Overview
To access full description of the Mary E. Bivins Foundation Religious Scholarship
Program please go to https://www.bivinsfoundation.org/wp-
content/uploads/2109/12/2019-Applicant-scholarship-overview-for-website.pdf
Personal Information
Please note that the last page of the scholarship application has seven or eight attachments that
must be submitted with the application. Each attachment may take some time to gather so please
take a look at the attachments page.
Student Information
Prefix First Name Middle Name or Initial Last Name Suffix
Last Four Digits of Your Social Security Number Date of Birth
County in which you were born/raised
Email
(Please input information for your current permanent residence. This address will have to be
verified in some way to confirm it is your permanent address.)
Permanent Resident – Address City State Zip Code
Phone Mobile Phone
(If current address is different than your permanent residence, please complete this section.)
Current Address – Address City State Zip Code
(Used for reporting purposes only) Gender Ethnicity Age Group
Church Information
Home Church Name Church Denomination
Church Pastor’s Name Church’s Ten Digit Phone Number
(Are you employed by the church?) Church Employment Status
(If you are employed, what is the title of your position?) Church Employment Position
EXAMPLE Mary E. Bivins Foundation Religious Scholarship Program Application | Page 1 of 5

*This is an example of the Mary E. Bivins Foundation Religious Scholarship Program
*PLEASE NOTE THE SCHOLARSHIP TYPE AND AMOUNTS ARE SUBJECT TO
CHANGE. PLEASE VIEW THE FULL PROGRAM DESCRIPTION FOR CURRENT
ACCURATE INFORMATION*
High School Information

High School Name High School Graduation Date
High School Address (Please include City, State and Zip Code)
High School Phone Number
Previous College Information


College Plans
How did you hear about the Mary E. Bivins scholarship?
The following section refers to the school you plan to attend in the next academic year (i.e.
August – July)
College Name College’s Phone Number

College Address City State Zip Code
Have you applied and been accepted at the above institution?
YOUR Tuition Cost Per Semester (Record total dollar amount NOT per hour amount).
Are there other colleges to which you have applied? If so, please list them.
What will your classification be in the upcoming fall semester?
Estimated/enrolled hours for upcoming fall semester?
Major/seeking degree in Expected date of graduation
Current cumulative grade point average (GPA), if applicable
List the name of your degree plan and the hours required for completion.
Upon completing my degree I plan to: (Please include the specific area of ministry you plan to
enter. (Word Limit = 500).
Other scholarships applied for and/or received:

Employment History
Current Employer, if employed. Title or Position Start Date
List previous employment covering the last five years
The information I have provided in this scholarship application is true and correct to the
best of my knowledge.
Student Signature (Printed Name Signifies Electronic Signature)
ATTACHMENTS
The following documents must be attached to the scholarship application.
1. Documentation of U.S. Citizenship (Typically a U.S. birth certificate.)
2. Documentation indicating proof of Texas Panhandle residency.
A permanent resident of the Texas Panhandle is defined as an individual (1) who has
resided or been gainfully employed in the northernmost 26 counties of the Texas Panhandle
for the 12-month period immediately preceding the date of application or (2) who has
graduated from a high school or college located in the northernmost 26 counties of the
Texas Panhandle and has been continuously enrolled in a post-secondary program since
leaving the Panhandle. Examples of acceptable documentation include high school and
college transcripts or other education records indicating graduation from a high school
located in the Texas Panhandle and continuous enrollment in a postsecondary program or a
letter from an employer located in the Texas Panhandle that indicates employment for at
least the preceding 12-month period (i.e. employment verification).
If your situation is unique please contact us for guidance on what to upload.
3. A copy of your most recent official college transcript as well as copies of official
transcripts from all institutions attended.
Cumulative undergraduate GPA of 2.75 or above or a cumulative graduate GPA of 3.0 or
above is needed to be eligible to apply. All previous college level work completed within the
last five years will be considered when applying the cumulative GPA requirement. If no
college coursework has been completed in the last 5 years, the most recent cumulative GPA
will be used.
4. A brief personal essay describing your calling to the ministry field. Please include
information that clearly explains your strong inward calling regarding the ministry you have
the desire to enter, information about your gifts and skills to be successful in that calling,
and how that calling has been externally confirmed. (Cannot be more than two pages with
normal margins and size 12 Times New Roman font.)
5. A letter of recommendation from a ministry leader who can provide information or
support regarding your possession of the necessary gifts and abilities to be successful in
your calling and/or information regarding how you have been given external affirmation of
your calling.
6. A letter of recommendation from a personal acquaintance. This letter cannot be from a
close friend or family member, but should be from a mentor, employer, professor, etc who
can speak to your call to ministry and the skills you possess to be successful in that calling.
7. A copy of your Degree Plan. (Audited, if possible.)
8. If applicable, verification of employment in full-time ministry in a church in the Texas
Panhandle. (Typically employment verification from church that identifies employment type
(i.e. full- or part-time), position, and dates of employment.

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*This is an example of the Mary E.

Bivins Foundation Religious Scholarship Program

Last Four Digits of Your Social Security Number Date of Birth

County in which you were born/raised

verified in some way to confirm it is your permanent address.)

Permanent Resident – Address City State Zip Code

Phone Mobile Phone

Current Address – Address City State Zip Code

(Used for reporting purposes only) Gender Ethnicity Age Group

Church Pastor’s Name Church’s Ten Digit Phone Number

(Are you employed by the church?) Church Employment Status

EXAMPLE Mary E. Bivins Foundation Religious Scholarship Program Application | Page 1 of 5

High School Information

High School Phone Number

Previous College Information

EXAMPLE Mary E. Bivins Foundation Religious Scholarship Program Application | Page 2 of 5

EXAMPLE Mary E. Bivins Foundation Religious Scholarship Program Application | Page 3 of 5

College Name College’s Phone Number

Have you applied and been accepted at the above institution?

What will your classification be in the upcoming fall semester?

Estimated/enrolled hours for upcoming fall semester?

Major/seeking degree in Expected date of graduation

Current cumulative grade point average (GPA), if applicable

Other scholarships applied for and/or received:

EXAMPLE Mary E. Bivins Foundation Religious Scholarship Program Application | Page 4 of 5

EXAMPLE Mary E. Bivins Foundation Religious Scholarship Program Application | Page 5 of 5

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