SCHOLARSHIP APPLICATION
What Type of Scholarship are you Applying for?
Mary Hill Davis Scholarship
Student Scholarship
APPLICANT INFORMATION
First Name
Last Name
Ministry Position
Name of College or University you Attend
Email
Mobile Phone
What is your Ethnicity?
Please select...
African American
Asian
Hispanic
Other Minority Culture
Please Provide your Ethnicity
CHURCH INFORMATION
Church Name
Church Phone
Mailing Street
Mailing City
Mailing State
Please select...
AA
AB
AE
AK
AL
AP
AR
AZ
BC
CA
CO
CT
DC
DE
FL
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MI
MN
MO
MS
MT
National
NB
NC
ND
NE
NF
NH
NJ
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PQ
PR
RI
RP
SC
SD
SK
TN
TX
US-Central
US-East
US-West
UT
VA
VT
WA
WI
WV
WY
YK
Mailing Zip
What is the Ethnicity of the Church?
Please select...
African American
Asian
Hispanic
Other Minority Culture
Please Provide the Ethnicity of the Church
Application Status
Scholarship Type
Record Type ID