Children's Names and Grades completed*Parent's Name*Street Address*City + State + ZipcodePhone NumberEmail AddressDoes family or child(ren) attend church? If so, where?Yearly Household Income:Less than $15,000$15,000 - $25,000$25,000 - $35,000$35,000 - $45,000More than $45,000Please let us know of any additional circumstances that would help us to better understand and meet some of your needs.Select what scholarship(s) you would like to be considered for. You may select more than one.Full Scholarship (You pay $0)90% $161.10 (You pay $17.90)50% $89.50 (You pay $89.50)25% $44.57 (You pay $134.25)All scholarship applications are reviewed by a review committee before any funds can be approved for scholarship use. Scholarships are assigned on a first come, first served basis, until all funds have been allocated.
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© 2014 Whitesburg Baptist Church.
6806 Whitesburg Drive SouthHuntsville, AL 35802P: 256.881.0952 or 256.704.5678