L.D Williams Scholarship Application

Name

Email Address

Address

Phone Number

City, State, Zip Code

High School

Graduation Year

GPA

Are you a member of Progressive Baptist Church (PBC)? Are you a member of Progressive Baptist Church (PBC)? Yes No

# of Years?

Do You Have Family Members Who Attend PBC? Do You Have Family Members Who Attend PBC? Yes No

Name of Family Member

Church Auxiliary Participation? Church Auxiliary Participation? Yes No

Short Essay on your Candidacy - 250 Character Limit

Colleges/Universities Accepted or Applied too