Urban Leadership Scholarship Application

Your Information

First Name

Last Name

Street Address

City

State

Zip

Phone

Date of Birth (MM/DD/YYYY)

Gender

Academic Information

Name of High School Attending

Location of High School (City, State)

Name of Guidance Counselor

Please ask your guidance counselor to sign the Statement of Support (application will not be completed without the completion of this form)

Cumulative Grade Point Average (GPA) on a 4.0 Scale (Official Transcript Required)

List SAT/ACT Scores (Proof of Official Scores Required)

Are you the first person in your family to go to college?

Young Life Information

Name of your Local Young Life Leader and Area Director

Please ask your Young Life Leader to submit the Statement of Support (application will not be completed without the submission of this form)

Family Information

Parent/Guardian 1 First Name

Parent/Guardian 1 Last Name

Parent/Guardian 2 First Name

Parent/Guardian 2 Last Name

Phone

Mailing Street

City

State

Postal Code

List Family Gross Annual Income from your 2019 Income Tax Form 1040 Line #22: (filing for FASFA is required)

Is your Parent/Guardian an Employee of Young Life?

YesNo

His/Her Full Name

Name of Young Life Office

Mission Unit Number

Is your Parent/Guardian in any Full-Time Ministry?

YesNo

His/Her Name

Ministry Title/Position

Name of Church/Ministry

Short Answer Questions

List any academic honors, awards and membership activities while in high school, including years of participation.

List your hobbies, outside interests, extracurricular activities and school related volunteer activities.

List your non-school sponsored leadership activities in your school, church, community, organization or company.

Share a short testimony of how you came to begin a relationship with Jesus.

Given Westmont’s commitment to being a Christian liberal arts college, please comment on your desire to be a part of the Westmont community.

Describe the kind of support you would appreciate from Young Life during your academic year?

Essay

Describe your leadership experiences and how these have shaped who you are today and what your leadership experiences have taught you. Also, please describe your intention or commitment to work for the betterment of an urban or metropolitan area in the private or public sector after you graduate from college. Please include how you developed this commitment and how it informs your desire to attend Westmont.

Please upload a PDF of your Essay here:

Statement of Accuracy for Students

Printed Name of Scholarship Applicant

Signature of Scholarship Applicant

Date

Contact Information