Full Name of applicant (Required)

Phone Number (Required)

Email address (Required)

Present Home Address (Required)

City (Required)

Are you a member of The Kingdom Church (Required)

Name Of High School (Required)

What colleges have you applied to for admission? Please indicate acceptance status (Required)

What course of study would you like to pursue? (Required)

What future business or educational career will you likely pursue after finishing college? (Required)

What college(s) would you most like to attend? please explain your reason. (Required)

List academic awards, achievements and dates (Required)

List participation in athletic activities (Required)

List participation in community service and extra-curricular activities (Required)

Student Essay:(500 words minimum) "When you look back on in thirty years, what would it take for you to consider your life successful? What people, things and accomplishments do you need?" (Required)