Form

Endowed Scholarship Application

First name*

Middle Name*

Last name*

Gender*

Address*

City*

State*

County*

Zip Code*

U.S. Citizen*

Country/Region*

Email*

Phone Number*

Marital status*

College Major*

College Minor*

Name of High School*

Expected College Graduation Date*

Church Name*

Church City & State

My church is a part of the Baptist Missionary Association

Yes

If YES, please list the name of your church's local association.

Are you preparing for vocational Christian ministry/service?*

Type of High School*

How do you serve in your Church?*

Are you active in the BMA Galilean program?*

If Yes, please provide a letter of reference from your local Galilean leader to financialaid@cbc.edu

Are you active in the BMA GMA program?*

If Yes, please provide a letter of reference from your local GMA leader to financialaid@cbc.edu

Please give testimony of your relationship with Jesus Christ*

Did either of your parents attend CBC?*

Are you a descendant of Dossie and Leona Attebery ?*

Are you a member of the Marvin & Kathy Delk family ?*

Are you a descendant of Earl and Marjorie Matthews and/or Powell and Ruth Cofer ?*

Are you a descendant of Dr. Ronald V. and Micki Mitchell ?*

Are you a relative of the Cora Myrtle Smith family ?*

Are you a licensed or ordained pastor ?*

Were you, your parents, or grandparents members of Haven Baptist Church of NWA?*

Are you a child of a BMA pastor ?*

Are you the wife of a BMA pastor ?*

Are you the wife of a ministerial student?*

Do you have children you support?*

Will you be enrolling in the traditional or PACE program for the next school year?*

Will you be participating in the music program at CBC in any way ?*

Will you be a participating in CBC athletics ?*

Are you an international student?*

Academic Reference*

Please provide the Name, Email, and Phone Number of an Academic Reference.

Church Reference*

Please provide the Name, Email, and Phone Number of a Pastor, Youth Pastor, or other Church Reference.