Please enable JavaScript in your browser to complete this form.PermissionApprovedWaitingDisapprovedYou are a:Full-Time StudentPart-Time StudentPersonal InformationName *FirstMiddleLastKorean NameReferred By (Required field) (i.e.: search engine, friends, newspaper, etc. Be specific about the source) *Mailing AddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmail *Phone NumberSNS (Facebook/Twitter)Demographic Information(This information is voluntary and refusal to provide it will not subject to any adverse treatment. It will be kept confidential and will be used only in accordance with Title 1Z7 of the Civil Right Act of 1964.)EthnicityKoreanWhiteAsian or Pacific IslanderAfrican AmericanHispanicCitizenshipCity of BirthGenderMaleFemaleReligious AffiliationCongregation DenominationLocationPhone NumberEducational DataCurrent Enrollment: High School/College/UniversityExpected Graduation (month & year) Previous Enrollment: High School/College/UniversityGraduation Date (month & year) Current Major or Intended MajorWhat degree are you currently pursuing (please specify if other)High SchoolAssociateBachelorMaster'sDoctorateOtherWork or Community Service ExperiencesWork Experiences (List with work period)Community Services (List with work period)Activities and HonorInvolvement in Missionary activity (Mission trip or active participation in church or missionary related activities)Special Achievement (Award)Honor Received (Fellowship)Recommenders' Contact InformationName of Reference OccupationEmailPhone Number Click or drag files to this area to upload. You can upload up to 5 files. I understand my name and information from my academic history may be released to the scholarship selection committee(s) and the scholarship donor(s). If awarded a scholarship, I release to the Zion Mountain Foundation, the right to arrange a meeting with the donor(s) and use my name, story, and picture for printed and video materials, reports, and press releases, without compensation, as well as I will attend ceremonies and receptions. I also recognize the advisability of communicating a letter of thanks to the donor of the scholarship.Submit
