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Scholarship Application

First Name (required)

Last Name (required)

Address (required)

Zip Code (required)

Contact Number (required)

Gender (required)

Father's Name (required)

Mother's Name (required)

Address (if different)

Contact Number for Parent(s) (required)

Are you a member of St. Stephen Church? Y or N (required)

How long have you been a member? (required)

List the ministries in which you currently participate or participated in the past? If you are/have not been active in a ministry, please put N/A (required)

Do you attend a Sunday School, Y or N? (required)

If yes, what is the name of your class and teacher?

Name of High School (required)

Anticipated graduation date: (required)

Intended College Major: (required)

Current Letter of Recommedation (required)

Letter of Acceptance (required)

Essay Question:
In 500 words or less, please answer ONE of the following questions in the box below:

1. What role has Simmons College of Kentucky played in the Education of African Americans? OR

2. How has Pastor Kevin Cosby and the St. Stephen Church Ministry impacted your life and community?

Official Transcript must be mailed directly to St. Stephen Church
Please have your official official transcript mailed to the Attn of Rev. Pat Taylor:

St. Stephen Church
1018 S. 15th St.
Louisville, KY 40210

Should you be selected as a scholarship recipient, your official end of year transcript with graduation date and stamp must be received by July 1, 2014 before any funds are awarded to your school of choice.

Your Email (required)

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