ASD Application

Thank you for considering the ASD Memorial Scholarship. This application may be filled out and submitted below, or you may print a copy (Click here for a printable copy) and mailed to ‘ASD Memorial Scholarship, 200 Warrior Rd., Batesville, AR 72501,’ or emailed to SummitYouthRally@gmail.com. Whether submitting digital or printed forms, applications and letters of recommendation must be RECEIVED by May 1. This scholarship will be presented at the Summit Youth Rally. Recipients must be present to be considered for this award.

ASD Scholarship Application

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Alternate Phone (optional)

Email(Required)

The Austin Davis Memorial Scholarship is awarded at the annual Summit Youth Rally. Will you be able to attend Summit to recieve this award?(Required)

Yes

No

Where do you attend church?(Required)

ACT/SAT Score(Required)

Cumulative GPA(Required)

Who will be providing letters of recommendation(Required)

Teacher

Spiritual Leader (Elder or Preacher prefered)

Letters of recommendation may be attached to this application (below) or emailed to SummitYouthRally@gmail.com with the subject line ‘Letter of Recommendation for Student Name.’ All letters must be received by the scholarship deadline.

If you have your letters of recommendation, you can upload them here

Drop files here or

Max. file size: 50 MB.

What insitution of higher education or technical school do you plan to attend?(Required)

What scholarships have you currently received?(Required)

If you have decided on a specific career, what is it, why have you decided to pursue this specific career path, and how will you use it glorify God?(Required)

Describe your participation in community service projects, charitable or volunteer work:(Required)

What is your favorite Bible verse and how has it impacted your life?(Required)

Austin was always the light in the room and made everyone feel better with his sense of humor and joy. How do you, like Austin, shine light into the people around you?(Required)

Who is someone you greatly admire and why?(Required)

Briefly tell us about a significant event in your life and how it affected you and changed you personally.(Required)

If you could travel to anywhere in the world, where would you go and why?(Required)

Tell us about a personal accomplishment that makes you proud or information you would like to share with us about who you are.(Required)

ASD Scholarship Application

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