Polk Street Methodist Church

Available Scholarships:
Kathy McKinney Memorial
Aldersgate Sunday School Class
GoForth Memorial

Please bring or mail a copy of your transcript to the church office.

Polk Street Methodist Church
1401 South Polk Street
Amarillo, TX 79101
806-374-2891

Email ashleykiper@polkstreet.org with any questions.

Applications will be submitted to and awarded by the scholarship committee

Personal Information

First Name

Last Name

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Phone Number

College Information

Educational Institution at which you will be enrolled for Fall 2024:

College Address:

Family Information

Number and ages of siblings still at home:

Will any siblings or parents be in college or vocational school next year?

Yes

No

If yes, how many?

Church Activities

Are you a member of Polk Street Methodist Church?

Yes

No

If yes, how long have you been a member?

If you are not a member or regular attendee of Polk Street, please provide the name and contact info for a reference from the local church or ministry where you are actively involved:

List church activities during grades 6th-12th and/or college and indicate the level of involvement:

School Activities

List school related extra-curricular activities during grades 9th-12th and/or college:

Educational and Career Goals

Fall 2024 Classification and Course of Study:

Please provide a statement on educational, career, and personal goals and how this scholarship can assist you in achieving these goals:

Signature

Scholarship Application Form 2025

Deadline: April 7, 2025

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Service & Office Hours

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