Deacon Eddie Thompson, Sr., Scholarship Fund Application Form

Deacon Eddie Thompson, Sr. Scholarship Fund Application Form

Application Deadline - July 5, 2025
I. Applicant Info:

Tell us about yourself
Name

First NameLast Name
Current Address :*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home Address (If different) :*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home No. :*

Area CodePhone Number
E-mail Address:*
Are you a member of New Mt. Zion Missionary Baptist Church

YesNo
Birthdate:*

MonthDayYear
Gender:

MaleFemale
Are you a US citizen?

United StatesResidentOther
Year in College

First Year (freshman)SophomoreJuniorSenior
Tuition in $
Room in Board in $
Amount
Books and Supplies in $
Amount
II. FAMILY IMFORMATION:

While this is not a need based Scholarship, we do reserve the option of awarding scholarships to eligible individuals demonstrating both academic merit and financial need.
Mother /Guardian*

Last NameFirst Name Middle Initial
Home Address (If different)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
E-mail Address:*
Is your Mother a member of New Mt. Zion Missionary Baptist Church

YesNo
Father /Guardian

First NameLast Name
Home Address (If different) :

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Is your Father a member of New Mt. Zion Missionary Baptist Church

YesNo
In case of Emergency Contact Name.
In case of Emergency Phone Number. :*

Area CodePhone Number
In case of Emergency INFO:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
III. APPLICANTS EDUCATION INFORMATION:
High school graduated from
School Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
If you have not graduated , what is your projected graduation date
College Major Concentration
Current Cumulative GPA
Number of credits earned toward High School/College Graduation
Chosen College and Address

0/300
Please list your Honors , Awards , and Special Recognitions

0/300
Please list your Church Activities at New Mt. Zion M.B. Church

0/300
Please list your Talents and Special skills

0/300
We Especially want to support applicants who are active at New Mount Zion Missionary Baptist Church, in their school, and community. this section for applicants to discuss their participation in Church, voluntary, extracurricular, civic, community, and humanitarian endeavors or serving as a leader and team member (e.g. mentoring a younger student). Add pages if neccesary.

0/300
IV. References:

Three (3) Recommendation letters are required. One should be from a high school administrator, teacher , coach, mentor, or Sunday school teacher, etc. References from family members, relatives, or friends are not acceptable. Recommendations should be sent directly to: New Mount Zion Missionary Baptist Church Attn: Scholarship Committee 140 West Maple Street Jackson, MS 39203
Recommender #1*

Last NameFirst Name Middle Initial
Recommender #1 Company/Organization
Recommender # 1 Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Recommender # 1 PHONE #. :

Area CodePhone Number
Recommender # 1 Email Address. :
example@example.com
Relationship Applicant
Recommender #2

First NameLast Name
Recommender #2 Company/Organization
Recommender #2 Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Recommender # 2 PHONE #. :

Area CodePhone Number
Recommender #2 Email Address
example@example.com
Relationship to applicant
Recommender #3

First NameLast Name
Recommender #3 Company/Organization
Recommender #3 Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Recommender # 3 PHONE #.

Area CodePhone Number
Recommender #3 Email Address
Email Address
Relationship to Applicant
VII. Essay
On a separate sheet of paper write a brief essay/ personal statement BELOW (400 words maximum) discussing your acedemic, professioanl, spirtual, amd personal goals. Please describe the interests you plan to explore in college.
Essay:

0/500
VIII. Applicant's E-Signature

Certification
By signing (typing your legal name) in the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.
E-Signature:*
Date:
Should be Empty:

Deacon Eddie Thompson, Sr. Scholarship Fund Application Form

I. Applicant Info:

II. FAMILY IMFORMATION:

III. APPLICANTS EDUCATION INFORMATION:

IV. References:

VII. Essay

VIII. Applicant's E-Signature