General Scholarship Form Step 1 of 4 - Basic Information 25% Name* First Last Cell Phone #*Email* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Type of Visa*Date of entry at NPBC*Fall 2017Summer 2017Spring 2017Fall 2016Summer 2016Spring 2016Fall 2015Summer 2015Spring 2015Fall 2014Summer 2014Spring 2014Fall 2013Summer 2013Spring 2013Fall 2012Summer 2012Spring 2012Fall 2011Degree Program*UndergraduateGraduateSecond 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?*YesNoHow 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?*YesNoDescribe your preaching experience.*Did you serve in Children's Ministry?*LeaderHelperNoHow 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?*YesNoWhat teaching positions did you hold?*Select all that apply. Teacher Assistant Teacher Substitute Teacher How 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?*YesNoWhat positions did you hold?*Select all that apply. Leader Teacher Helper Were you in Girl's Club?*YesNoWhat positions did you hold?*Select all that apply. Director Teacher Student What was your highest rank?*Were you in Royal Rangers?*YesNoWhat positions did you hold?*Select all that apply. Director Commander Student What was your highest rank?*Were you a part of a Nursing Home Ministry?*YesNoWhat positions did you hold?*Select all that apply. Leader Participant Have you worked in a Camp Program?*YesNoWhat positions did you hold?*Select all that apply. Staff Member Counselor Other Have you been involved with a Drama Team?*YesNoDescribe your experience.*Have you served on a worship team?*YesNoWhat positions did you hold?*Select all that apply. Worship Leader Team Member Sound/Media Technician Do you play an instrument or sing?*YesNoWhat instruments do you play?*Have you participated in a Bible Quiz?*YesNoWhat was the highest rank your team achieved?*ParticipantsDistrict ChampionsRegional ChampionsNational ChampionsHave you participated in Fine Arts?*YesNoSelect all that apply. District Superior Rating National Superior Rating District 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?*YesNoWhat position did you hold?*Did participate in creating a school newspaper or yearbook?*YesNoDescribe your involvement:*Were you a Service Club Leader?*YesNoGive specifics:*Were you a part of an athletic program?*YesNoList 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.*NameThis field is for validation purposes and should be left unchanged.
