General Scholarship Form Step 1 of 4 - Basic Information25%Name* First Last Cell Phone #*Email* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Race*WhiteBlack or African AmericanAsianAmerican Indian or Alaska NativeNative Hawaiian or Other Pacific IslanderEthnicity*HispanicLatinoI have no ethnicityType of Visa*Date of entry at NPBC*Spring 2021Fall 2021Spring 2022Fall 2022Spring 2023Fall 2023Spring 2024Fall 2024Degree Program* Undergraduate GraduateSecond Major*All undergraduate students receive a degree in Bible & Theology and a second major of their choice.UndecidedPastoral MinistryYouth MinistryWorld MissionsMusic & Worship MinistryChurch MinistryChildren & Family MinistryHome Church*How long have you attended?*1 Month2 Months3 Months4 Months5 Months6 Months7 Months8 Months9 Months10 Months11 Months1 Year2 Years3 Years4 Years5 Years6 Years7 Years8 Years9 Years10 Years11 Years12 Years13 Years14 Years15 Years16 Years17 Years18 Years19 Years20 YearsOver 20 YearsWho is the pastor?* First Last Church Activities:Did you serve in Youth Ministry?* Yes NoHow long did you serve in Youth Ministry?*1 Month2 Months3 Months4 Months5 Months6 Months7 Months8 Months9 Months10 Months11 Months1 Year2 Years3 Years4 Years5 Years6 Years7 Years8 Years9 Years10 Years11 Years12 Years13 Years14 Years15 Years16 Years17 Years18 Years19 Years20 YearsOver 20 YearsDo you have experience preaching?* Yes NoDescribe your preaching experience.*Did you serve in Children's Ministry?* Leader Helper NoHow long did you serve in Children's Ministry?*1 Month2 Months3 Months4 Months5 Months6 Months7 Months8 Months9 Months10 Months11 Months1 Year2 Years3 Years4 Years5 Years6 Years7 Years8 Years9 Years10 Years11 Years12 Years13 Years14 Years15 Years16 Years17 Years18 Years19 Years20 YearsOver 20 YearsDid you teach Sunday School?* Yes NoWhat teaching positions did you hold?*Select all that apply. Teacher Assistant Teacher Substitute TeacherHow long did you teach Sunday School?*1 Month2 Months3 Months4 Months5 Months6 Months7 Months8 Months9 Months10 Months11 Months1 Year2 Years3 Years4 Years5 Years6 Years7 Years8 Years9 Years10 Years11 Years12 Years13 Years14 Years15 Years16 Years17 Years18 Years19 Years20 YearsOver 20 YearsDid you serve in VBS or Kid's Crusade?* Yes NoWhat positions did you hold?*Select all that apply. Leader Teacher HelperWere you in Girl's Club?* Yes NoWhat positions did you hold?*Select all that apply. Director Teacher StudentWhat was your highest rank?*Were you in Royal Rangers?* Yes NoWhat positions did you hold?*Select all that apply. Director Commander StudentWhat was your highest rank?*Were you a part of a Nursing Home Ministry?* Yes NoWhat positions did you hold?*Select all that apply. Leader ParticipantHave you worked in a Camp Program?* Yes NoWhat positions did you hold?*Select all that apply. Staff Member Counselor OtherHave you been involved with a Drama Team?* Yes NoDescribe your experience.*Have you served on a worship team?* Yes NoWhat positions did you hold?*Select all that apply. Worship Leader Team Member Sound/Media TechnicianDo you play an instrument or sing?* Yes NoWhat instruments do you play?*Have you participated in a Bible Quiz?* Yes NoWhat was the highest rank your team achieved?* Participants District Champions Regional Champions National ChampionsHave you participated in Fine Arts?* Yes NoSelect all that apply. District Superior Rating National Superior RatingDistrict Superior Rating in:*National Superior Rating in:*Mission Trip Involvement(AIM, MAPS, etc.)Please describe any mission trip involvement in detail below.School Activities:Were you a part of your school's student government?* Yes NoWhat position did you hold?*Did participate in creating a school newspaper or yearbook?* Yes NoDescribe your involvement:*Were you a Service Club Leader?* Yes NoGive specifics:*Were you a part of an athletic program?* Yes NoList the sports you played:*List any other school activities you would like to mention:Briefly describe why you should receive a scholarship. Include your plans for when you graduate college.*CAPTCHAPhoneThis field is for validation purposes and should be left unchanged.Δ
