Personal Information

First Name*
  Middle   Last Name*
Email address*
Reenter
email address*
Gender
Male Female
Birthdate*
Address*
City*
  State*   Zip*
Phone Number*
Parent(s) or legal
guardian(s) name(s)
Address,
if different

Academic Information

High school/college
currently attending
Current GPA
on a scale
City
  State
Name of high
school counselor
(if applicable)
School Phone
Year of Graduation
Rank in class,
if known
in a class of
ACT Composite*
SAT Math*
SAT Critical Reading* SAT Writing*
*Please remember to have official scores submitted to the DBU Office of Undergraduate Admissions when you take each test, including repeated tests.

Church and Community Involvement

Please list (in the order of your involvement) church, community, and school organizations in which you have participated, and any honors you have received.
I attend worship/church activities:

Agreement

I have read and understood ALL of the requirements for this scholarship and will live on campus if awarded a scholarship.

  

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