Child(ren)'s Name(s) and Grade(s) completed*Parent's Name*Address*
Address Line 2
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific
Phone NumberEmail Address
Does 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% $175.50 (You pay $19.50)
50% $97.50 (You pay $97.50)
25% $48.75 (You pay $146.25)
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.
You will be contacted about your possible scholarship.To help us limit the amount of spam we receive, please type the characters you see below
© 2016 Whitesburg Baptist Church | Huntsville Alabama.
6806 Whitesburg Drive SouthHuntsville, AL 35802P: 256.881.0952 or 256.704.5678