Scholarship App

Scholarship Application

Scholarships are typically awarded at the Fall Annual Session of the United Missionary Baptist Convention of NJ, Inc.

2023-2024 Scholarship Application

Date Completing Application

PERSONAL DATA

First Name (Student)

Middle Initial

Last Name (Student)

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Birthday

Phone

Select an option

High School

College

Name of School

Classification (Freshman, Sophomore, Junior, Senior)

Date of Entry

Major

Name of Church

City, State

Pastor

Church Activities

Convention Activities

Extra-Curricular Activities

What would you currently consider your greatest achievement to be?

FAMILY DATA

Parent/Guardian First Name

Middle Initial

Last Name

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Number of siblings at home

List other known scholarships or academic awards

REQUIRED SIGNATURES

Applicant

Parent/Guardian

Your application has been submitted! You will receive notification of our determination after all applications have been received and reviewed. Thank you!