WaterBreak Ministries

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1 WaterBreak Ministries Scholarship Application North 26 th Ave Lanett, AL , WaterBreak has been generously endowed by WaterBreak members who have, through gifts and memorials, established a variety of scholarship funds that provide financial resources to be awarded to full-time undergraduate students each year. Application Procedure 1. Applications will become available at the beginning of April during the year of application. Applications may be picked up from the Athletic Director in his/her school or may be acquired from the website. 2. Completed applications, current school transcript(s), a letter of recommendation and a photo must be returned to the Scholarship Committee at the office by April 5th. Please check with WaterBreak s office to verify that your application has been received. It s preferred that applications be typed. Additional paper may be used if more room is needed for any responses. It s most important that your responses are detailed and complete to help the Scholarship Committee better know you. Any questions should be directed to the Scholarship Committee chairperson who is currently Mitch Hamilton. 3. After reviewing all applications, the Scholarship Committee will contact all applicants by mail. The scholarship recipients will be invited to the presentation of awards during the winner s school awards day. Recipients are expected to attend this presentation. If unable to attend, the student must contact the chairperson of the Scholarship Committee prior to the awards service. 4. This application is for one academic school year; however a student may reapply in following years if qualifications are met. Students may only receive a total of four scholarships. Scholarship Application Checklist: Completed Application School Transcript Recommendation Letter Photo

2 Restrictions/Guidelines 1. Winner has one year to utilize the funds 2. Awards will be made payable to the accredited college or university of higher education only (not to any third party, including the scholarship recipient), as first designated by the award recipient. Once scholarship funds are sent to the college or university designated by the award recipient, WaterBreak cannot direct those funds to another college or university. Award, when combined with other scholarship funds of recipient from other sources, shall not exceed 100% of the cost of tuition, fees, and required textbooks. 3. Award recipient is solely responsible for providing WaterBreak with appropriate information necessary to process the award and credit the recipient s account at the appropriate financial aid office. Recipients may be required to verify enrollment and other information, as directed. 4. If recipient withdraws from enrollment during the course of a term, recipient may be required to reimburse WaterBreak for unused awards. 5. Awards will only be not applied toward courses the student has not yet attended. Awards will be applied to past due balances. 6. Awards are not assignable or transferable to any other person. 7. Award recipients are full responsible for all applicable federal, state and local taxes and fees. 8. This award may affect the amount of other financial aid for which a recipient may qualify, or the award may be reduced or nullified by other educational assistance and aid the recipient receives Communication A letter of congratulations will be sent to the winning applicants along with any instructions concerning required documentation and/or disbursal of award funds. Publicity WaterBreak Ministries scholarship recipient may be asked for a short interview and photograph to announce their award in the WaterBreak newsletter, website and possibly other public venues.

3 Personal/Contact Information Name: Home Address: College Address: Home Phone: Cell Phone: Parent(s)/Guardian(s) Name: Home Church: Pastor: Home Church Address: Home Church Phone Number: School Activities List group or individual school activities in which you re an active member and identify any leadership role or responsibilities you may have.

4 Church Involvement Identify areas in which you ve been active in your church Leisure/Community Activities List activities outside of school such as your hobbies, interests, and any community service. Identify any leadership role or responsibilities you may have. Be specific please. Qualifications 1. Church membership, academic achievement requirements, and school of attendance may vary with each scholarship offered. 2. Scholarships are for students enrolled in full-time undergraduate study.

5 Academic Name of High School: Date of Graduation: High School Grade Point Average * Do you plan to attend college as a full-time student for the full school year of 2018? Yes No If yes, which school? In City, State List any recognition, awards or honors that you ve received in school, church, work, or community in the last several years: *Please include a copy of your academic transcripts with this application from high school. By this application, I authorize the Scholarship Committee to verify my G.P.A., credits and class load. Your Faith Journey Please respond thoughtfully and specifically to each statement or question, developing and expressing your ideas completely, on another sheet of paper. Typed responses are preferred. 1. Give a brief summary of the main events in your life and outline your personal as well as your educational goals. 2. How has [Church Name] influenced your life journey of faith? 3. In what ways has your religious background and faith impacted your life? Give specific examples of your personal religious beliefs, attitudes and how they guide you in how you live your daily life. 4. Explain why this scholarship is important to you.

6 References/Letter of Recommendation Please give the name, address and phone number of two character references who can attest to your character, personal and educational goals. One should be an active member of your church and the other may be a community person. Choose one to as to submit a written letter of recommendation on your behalf directly to the WaterBreak Ministries Scholarship Committee by the deadline of April 5. Name 1: Address: Phone: How do you know this person? Name 2: Address: Phone: How do you know this person? Which reference will be submitting a letter of recommendation on your behalf? Would you be available for a personal interview? Yes No Thank you for applying for a WaterBreak Ministries Scholarship Certification To the best of my knowledge I certify that the information reported is truthful, complete and correct. I certify that during the school year the applicant will be enrolled as a full time student pursuing a degree in an institution of higher learning that is state and nationally accredited by an agency recognized by the U.S. Department of Education. I understand and agree that all entries become the property of WaterBreak Ministries and essays may be published. Your Signature Date

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