path to greatness ScHolarship Form

PERSONAL INFORMATION

Name

First Name

Last Name

Email Address

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Date of Birth

YYYY

Social Security Number

All information is held in strictest confidence. SSN# is only used to confirm payment to college/university.

Are any of your siblings currently enrolled in college?

If Yes, where?

Are your parents members of Pathway Church?

Are you a member of Pathway Church?

EDUCATIONAL INFORMATION

Are you enrolled in college?

If Yes, where?

College Major/Minor

Student Classification for the upcoming fall academic year?

Freshman

Sophmore

Junior

Senior

Anticipated college/university graduation date?

YYYY

How do you intend to fund your college education?

Please list any monies contributed to you, whether from academic institutions, student loans, companies, parents, relatives, or your own earnings.

Are you the recipient of other scholarships?

If Yes, list the scholarships and the amounts:s, list the scholarships and the amounts:

What are your future plans and goals?

List three people of all time that you would like to have lunch with and explain why.

How would you incorporate your Christianity into your future plans?