JANET ANDRÉ BOOTSMA SCHOLARSHIP

SCHOLARSHIP APPLICATION

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PERSONAL INFORMATION*

Last Name	First Name	Middle Initial	Maiden Name

Street Address	City	State	Zip Code

Phone	E-mail Address	Social Security Number

Church in which a Member	College I Plan to Attend (or currently attend)	My Tentative Academic Major

I plan to enroll for the	Fall semester	Spring semester	Year

ACADEMIC INFORMATION*

Full name of high school	Street Address	City, State, Zip Code

Cumulative high school GPA (Provide official transcript (and college transcript if currently attending) as an Additional File - see below)	ACT or SAT composite score (Provide official score report as an Additional File - see below)	High school graduation year

Current college GPA (if currently attending college)

LEADERSHIP ACTIVITIES

1. Please list your leadership, volunteer and/or service experiences during high school (and during college, if you are a current college student), including school academic and extra-curricular activities, church activities and community activities, identifying the frequency of the activity (how often), the duration of the activity (how long it took each time), and the time period of the activity (months and years). Use a separate sheet of paper if needed to describe activities.

a. School Academic & Extra-Curricular Activities	Frequency and Duration	Time Period
*	*	*





b. Non-School Activities	Frequency and Duration	Time Period
*	*	*

Please answer the each of following questions (150 words or less):

2. How and why did you become involved in the experiences listed above?*

3. Have these activities developed you personally and spiritually?*

4. Describe your most meaningful extra-curricular achievements and experiences and how they relate to your future goals.*

5. Discuss a special strength or accomplishment that sets you apart.*

6. What do you hope to achieve in your personal and professional life after college?*

ADDITIONAL FILES

Please include your transcript, test scores, or other documents that provide addtional information. You may upload any document type (PDF, Word, etc.) that is less than 7MB

File 1:
File 2:
File 3:
File 4:

RECOMMENDATIONS*

A complete application includes two recommendations from non-relatives (one of whom is the pastor or youth pastor of your church) who know you well and can comment accurately on your Christian character, abilities, and leadership involvement. Please provide information about these two persons.

Name	Telephone Number	Email Address	Relationship to Applicant



	Type numbers from image:

BEFORE SUBMITTING Review your application to ensure you have provided complete and accurate information When you are ready, please click "Submit" only one time Once you click "Submit" your files will begin uploading which can take some time, so please be patient

	Date: 2026-04-18
Questions? Feel free to ask the Selection Committee.