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The following information needs to be filled out completely to be considered for the Shackelford Scholarship given to Moffett Memorial Baptist Church members. You must fill out an application between June 1-15 and November 1-15 for each semester. If approved, you will receive $1000.00 for the fall semester and $1000.00 for the spring semester for the upcoming year. 

Name*

Email Address*

Address*

City, State, Zip*

Are You...*

School You Will Be Attending*

School Address to Mail Scholarship Check*

Address 2

City, State, Zip*

Student Account #*

Thank you for applying for the Shackelford Fund Scholarship. APPLICATIONS ARE ACCEPTED JUNE 1-15 AND NOVEMBER 1-15 FOR EACH SEMESTER. Please contact the office at 434-793-1722, if you have any questions.

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