Bethel Enrichment Center

SCHOLARSHIP APPLICATION PACKET CHECKLIST

2015-2016 ACADEMIC SCHOOL YEAR
PLEASE SUBMIT THIS CHECKLIST WITH APPLICATION
This CHECKLIST will aid you in gathering the necessary information for the initial evaluation of your eligibility for one
(1) of four (4) scholarships. All required information has been denoted with the (*) symbol. In order to process your
application, the BEC Committee is requesting that you complete and submit this checklist, the BEC application and all
other supporting materials (See Application Attachments):

Cover Sheet (Required)

Check if ALL requested information under Student Information has been provided *
Check if ALL requested information under High School Information has been provided *
Check if ALL requested information under Church Information has been provided *
Check if ALL requested information under Parent/Guardian Contact Information has been provided *
Check if one (1) parent is of African American descent or Black Caribbean heritage

Application Attachments (Required)

Check if you have attached a copy of your most current ACADEMIC TRANSCRIPT (9th grade- 2nd Qtr./Sr.) *
Check if you have attached one (1) sealed letter of recommendation from MINISTRY LEADER *
Check if you have attached one (1) sealed letter of recommendation from SCHOOL OFFICIAL/TEACHER *
Check if you have attached one (1) sealed letter of recommendation from EMPLOYER/COMMUNITY LEADER *

Essay (Required)
Check if you have typed a 250-300 WORD response to your selected essay question *
Check if the question that you have answered is properly identified at the top of the page *

Volunteer Hours (Optional)

Check if you have completed the Community Service Record of Volunteering (if applicable, not required)
Check if the total number of recorded community service exceeds 100 hours (if applicable, not required)

Deadline (Required)
Check if your BEC APPLICATION was submitted on/before February 14, 2016 *
Provide Date and Time of Submission (HERE) * Date:

* Time:

I hereby confirm receipt (via hard copy or electronic version) of the above Scholarship Application Packet Checklist. By
providing my signature below I fully understand and agree to submit all required documentation necessary for
consideration before the deadline. Should I neglect to submit all of the required materials needed to assess my eligibility on
or before February 14, 2016 (all application materials must be postmarked before the deadline) I acknowledge that my
application will default to an incomplete status and will subsequently be withdrawn from consideration. Should you have
any questions or concerns ALL inquiries can be directed to [email protected]
Student Signed (REQUIRED):

Date:
Print

Signature

Print

Signature

Parent[s] Signed (REQUIRED):

Date:

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The Bethel Enrichment Center: Doing our Part to Profoundly Impact the Community.

Bethel Enrichment Center

COMMUNITY SERVICE RECORD OF VOLUNTEERING
2015-2016 ACADEMIC SCHOOL YEAR
(Optional)
Note to Sponsors:
You are not obligated to sign for unacceptable work/effort/participation. Ensure that the description of the
service is accurate. Multiple dates of the same service may be confined to one box if each date is recorded
and your signature is provided and your initials beside each additional date of service.

Note to Student Volunteer:

All information is required in order for your community service to count towards your volunteer hours.
Events and/or community service activities that are accompanied without a signature will be void.

Name:
Grade: 11th 12th Semester: Fall Spring Summer

_________
Date(s)

_____________________________________________________________________ ______
Organization and/or Name of Event

No. Hours

_____________________________________________________________________
Description of Community Service

___________________________

____________________________

Event Sponsor, Name of Contact

_________
Date(s)

___________________________

Contact Information (Phone/Email)

Event Sponsor/Contact Signature

_____________________________________________________________________ ______
Organization and/or Name of Event

No. Hours

_____________________________________________________________________
Description of Community Service

___________________________

____________________________

Event Sponsor, Name of Contact

Contact Information (Phone/Email)

_________
Date(s)

___________________________
Event Sponsor/Contact Signature

_____________________________________________________________________ ______
Organization and/or Name of Event

No. Hours

_____________________________________________________________________
Description of Community Service

___________________________

____________________________

Event Sponsor, Name of Contact

Contact Information (Phone/Email)

___________________________
Event Sponsor/Contact Signature

NO. TOTAL HOURS:

(Total for this page ONLY)

_________
Date(s)

_____________________________________________________________________ ______
Organization and/or Name of Event

No. Hours

_____________________________________________________________________
Description of Community Service

___________________________

____________________________

Event Sponsor, Name of Contact

_________
Date(s)

___________________________

Contact Information (Phone/Email)

Event Sponsor/Contact Signature

_____________________________________________________________________ ______
Organization and/or Name of Event

No. Hours

_____________________________________________________________________
Description of Community Service

___________________________

____________________________

Event Sponsor, Name of Contact

Contact Information (Phone/Email)

_________
Date(s)

___________________________
Event Sponsor/Contact Signature

_____________________________________________________________________ ______
Organization and/or Name of Event

No. Hours

_____________________________________________________________________
Description of Community Service

___________________________

____________________________

Event Sponsor, Name of Contact

Contact Information (Phone/Email)

_________
Date(s)

___________________________
Event Sponsor/Contact Signature

_____________________________________________________________________ ______
Organization and/or Name of Event

No. Hours

_____________________________________________________________________
Description of Community Service

___________________________

____________________________

Event Sponsor, Name of Contact

_________
Date(s)

___________________________

Contact Information (Phone/Email)

Event Sponsor/Contact Signature

_____________________________________________________________________ ______
Organization and/or Name of Event

No. Hours

_____________________________________________________________________
Description of Community Service

___________________________

____________________________

Event Sponsor, Name of Contact

Contact Information (Phone/Email)

___________________________
Event Sponsor/Contact Signature

NO. TOTAL HOURS:

(Total for this page ONLY)

20152016SCHOLARSHIPDETAILS

QualifiedApplicantswillbeeligibletoreceivescholarshipawardsinhonorofformer
pastorsofBethelBaptistChurchforcommunityservice,academicachievementand
exemplaryeffort.

MaximumNumberofAwardsSix(6).
MaximumAwardAmount&MaximumPerStudent$1,000
Ifcommunitycollege,tradeortechnicalschool,maximumscholarshipamountis$500.
MinimumAwardAmount$500.
Thecommitteereservestherighttodeterminethescholarshipstobedistributedbased
onthecandidatepool.
Thecommitteeisnotobligatedtodistributeallscholarshipsifqualifiedcandidatesdo
notapply.

NOTE:Allawardswillbedistributeddirectlytotheschool.Onceascholarshiphasbeenawarded,studentsmust
providethenameandaddressoftheschoolsbusinessofficeandtheirstudentnumbertotheBECScholarship
Committeebeforeacheckcanbecutandmailed.


20152016SCHOLARSHIP
APPLICATIONINSTRUCTIONS

StudentsapplyingfortheBECScholarshipmustmeetthefollowingminimumcriteria:

GraduatingHighSchoolSenior
MemberofBethelBaptistChurchaminimumone(1)year
ActiveparticipantinBethelsYouthMinistryActivities(Choir,Usher,Dance,
DaughtersofVirtue,SonsofIntegrity,etc.)
HaveaminimumweightedGPAof2.5.
Planningtoenrollatanaccreditedinstitutionofhigherlearning(Studentmust
provideproofofenrollmentataFourYearorTwoYearCollegeorUniversity,
orTradeSchoolbyJanuary15oftheyearfollowinghighschoolgraduation
beforefundsareawarded
)

Studentsmustprovidethefollowingdocumentstobeconsideredforascholarshipaward:

CompletedBECScholarshipApplication
Three(3)LettersofRecommendation(
1MinistryLeader,2SchoolOfficial/
Teacher,3Professional/Employer/CommunityOrganizationLeader
)
Typed250300WordEssayRespondingto1of3Questions
TranscriptorReportCardforthe2nd9weeksof2014/2015AcademicSchool
year

AllmaterialsmustbereceivedbytheBECnolaterthanSundayFebruary14,2016.

BECScholarshipCommitteeContactInformation:

CynthiaRandolph
[email protected]
704.277.7401
BernardRandolph
[email protected]
704.968.5366
StevetteWatkins
[email protected]
336.251.8110
RussellEvans
[email protected]
704.425.7077
JenniferAnderson
[email protected]
704.617.6879
BettieButler
[email protected]
336.340.2881


20152016SCHOLARSHIPAPPLICATION

STUDENTINFORMATION

StudentName:

StudentCellPhone:

Email:

HIGHSCHOOLINFORMATION

NameofHighSchool:

HighSchoolClassification:

GraduationYear:

CurrentG.P.A:

Whatareyourplansafterhighschoolgraduation?(SelectOne)

4YearCollegeCommunityCollegeTradeSchoolMilitaryWork

Whatcollege/tradeschoolwillyouattendintheFallof2016?

CHURCHINFORMATION

AreyouamemberofBethelBaptistChurch?(YesorNo)

Howlonghaveyoubeenamember?(NumberofYears)

Whatministriesareyouactivelyservingorparticipatingin?(SelectOne)

YouthUshersDaughtersofVirtueSonsofIntegrityDanceMimeChoir

PARENT/GUARDIANCONTACTINFORMATION

ParentName:

ParentPhone:

Email:

2015-2016 SCHOLARSHIP ESSAY QUESTIONS

All Bethel Enrichment Center Scholarship applicants are required to submit a 250 300 word
essay in response to one of the following questions below. The essay must be double spaced,
typed in 12 point font, with indented paragraphs. No plagiarism will be allowed; the essay must
be in your own words. Please type the question youre answering at the top of your essay and
note the total word count (less the question) at end of your essay.

1) The lessons we take from failure can be fundamental to later success. Recount an incident or
time when you experienced failure. How did it affect you, and what did you learn from the
experience?
2) Reflect on a time when you challenged a belief or idea. What prompted you to act? Would you
make the same decision again?
or
3) Describe a problem youve solved or a problem youd like to solve. It can be an intellectual
challenge, a research query, an ethical dilemma- anything that is of personal importance, no
matter the scale. Explain its significance to you and what steps you took or could take to
identify a solution?

2015-2016 SCHOLARSHIP ESSAY RESPONSE

IDENTIFY SELECTED QUESTION:

PROVIDE RESPONSE:

Word Count: ___________

2015-2016 SCHOLARSHIP RECOMMENDATION FORM

Student Name _______________________________________________________________
Complete the following Scholarship Recommendation Form on behalf of the student above. To ensure readability, please type
your recommendation in the box below and attach it to this form. The Scholarship Recommendation form and attachment
must be received on or before
February 14, 2015. Forms can be returned to the student or mailed to: The
BEC Scholarship
Fund, c/o
Bethel
Enrichment Center, 1209 Opal Street, Kannapolis, NC 28083
. Forms that are returned to the student
should be sealed with the recommender's signature over the seal. All recommendations must be postmarked by February 13
and/or received by the BEC Scholarship Committee by February 14.
1. How long have you known the student?
2. What is your relationship to the student?
a) Ministry Leader
_________
c) Professional/Employer
_________

_______

b) H.S. Teacher/Official
d) Community/Volunteer Org. Official

_________
_________

3. Please rate all areas in which you feel you have adequate knowledge of the student.

EXCELLENT

ABOVE
AVERAGE

MEETS
EXPECTATIONS

BELOW
AVERAGE

NOT
APPLICABLE

Academic
Achievement
Leadership Skills
Motivation
Community Service
Record
Organizational Skills
Responsibility and
Follow-through
Team Player
Self-Reliance &
Initiative
Employment Record

. Please share experiences youve had with the student and/or witnessed that prompted your recommendation and
4
one or more of the ratings above (250 word limit). Please attach your recommendation on a separate sheet of
paper.

Name
Signature

Role/Organization
Date