New Student Scholarship Application Application for school year:* 2022-2023 Name* First Middle Last Email* Mailing Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Cell Phone*Date of Birth* Month Day Year Education Level Completed* Current Grade Level* GPA* Church Name and Affiliation* Parent(s) or Guardian(s) name(s)* Parent(s) or Guardian(s) Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Parent(s) Occupations* Did your grandparent or great grandparent graduate from FLBC (formerly AFLBS) between 1966-1970? Yes Name of Grandparent First Last Year Grandparent Graduated19661967196819691970Students who meet the criteria for the Legacy Scholarship will be notified prior to the 2nd semester of their first year. Students may only receive this scholarship once while enrolled at FLBC. Scholarship SelectionPlease note that scholarships are not automatically renewable into your second year. Students must reapply in order to be considered. Note: 2022-2023 Scholarships are now closed except for the Financial Aid Scholarship. I am applying for:* Financial Aid Scholarship Academic Scholarship Music Scholarship Leadership Development Award Family in Ministry Scholarship Financial AidWill your parents or other family member be paying part or all of your FLBC account?* Yes No Parent(s) Combined Annual Income* Amount Parents or other family will be contributing toward your account* Have you inquired of your church whether or not they will be giving a scholarship?* Yes No Will your church be giving a scholarship?* Yes No The amount your church will be contributing?* Will you be receiving any other financial aid or scholarships?* Yes No If so, please list each source & amount*SourceAmount Statement of assets of applicantCash on hand or in bank, etc.Real EstateAutomobile: (Year/Make) Stocks and Bonds (market value)OtherTotal Financial Aid Scholarship Financial Aid Essay*Please write 1-2 paragraphs describing your and/or your family’s financial situation and why you feel you need a financial aid scholarship. Academic ScholarshipYou must have a GPA of 3.5 or higher to apply for an Academic Scholarship. Transcript Upload (Allowed files include doc, docx, pdf, jpg, png)Accepted file types: doc, docx, pdf, jpg, png, Max. file size: 10 MB.If you have not submitted one to FLBC within the last year please attach a copy of your most recent transcript. (Unofficial or Official) ACT Score ACT Score if available (1st year students only) Upload ACT or SAT Results (Allowed files include doc, docx, pdf, jpg, png)Accepted file types: doc, docx, pdf, jpg, png, Max. file size: 10 MB.(if available)Academic Scholarship Essay*Submit 1-2 paragraphs on why you think you deserve an academic scholarship Music ScholarshipI am submitting a recording for Voice Instrument (Check all that Apply)Which instrument(s)? HiddenMP3 File UploadAccepted file types: mp3, m4a, mp4, wma, wav, ogg, aif, aac, , Max. file size: 10 MB.(You may upload multiple MP3 files here if needed) Students are asked to submit an audio CD recording or an MP3 recording. Recordings must be of high quality and unedited. They must also be labeled with the student’s name, address, telephone number, the composers and titles of the selections, and the date of the recording.MP3 File Upload Drop files here or Select files Accepted file types: mp3, m4a, mp4, wma, wav, ogg, aif, aac, Max. file size: 10 MB. (You may upload multiple MP3 files here if needed) Students are asked to submit an audio CD recording or an MP3 recording. Recordings must be of high quality and unedited. They must also be labeled with the student’s name, address, telephone number, the composers and titles of the selections, and the date of the recording.)Recording informationFilenameTitleComposerDate MP3 Download/Stream Link Submit your link for Youtube, SoundCloud, Dropbox, Google drive, etc.Letter of Recommendation UploadAccepted file types: doc, docx, pdf, jpg, png, Max. file size: 10 MB.Applicants must submit a letter of recommendation, written by someone who can comment on your musical abilities and contributions. Letters may also be mailed to ATTN: FLBC Scholarships 3134 E Medicine Lake Blvd, Plymouth, MN 55441High School/Location High School Music ActivitesCollege(s)/Bible School(s)/Location College Music ActivitiesChurch Music ActivitiesHave you ever taken private lessons?* Yes No If so, with whom and for how long? What other instruments do you play and how long have you played them?Describe in one paragraph how you hope to use your musical abilities at FLBC.*Describe in one paragraph what you hope to musically gain at FLBC.* Leadership Development AwardEssay*Students must submit a 250-400 word essay about their leadership involvement and service. Students should include any leadership positions held in student groups, youth group, ministries, leadership displayed in volunteer work, and any missions trips in which they have participated.Letter of RecommendationAccepted file types: doc, docx, pdf, Max. file size: 10 MB.Students must include a letter of recommendation from a supervisor or advisor who has overseen them in a leadership role. Recommendations should not be from a family member. Letters may also be mailed to ATTN: FLBC Scholarships 3134 E Medicine Lake Blvd, Plymouth, MN 55441 Family In Ministry AwardAre either of your parents involved in full-time ministry?* Yes No Which Parent?* Name of church or ministry organization* What is their role in that ministry?* Please click on the submit button to finish the application.
