2023 Zion Baptist Church Graduate Recognition Form

Instructions

We will recognize Zion members and non-members who are graduating or being promoted from any level between preschool through post-graduate, as well as from other programs (e.g., Ushering School) during our Graduates Day celebration following the worship service on Sunday, June 4, 2023. To be included, by Sunday, May 21, 2023, you must:

(1) Submit all the information on the form below; and

(2) Send a photograph of the graduate to the College Ministry either via email to collegeministry@zionbaptistchurch.net or via U.S. mail to Zion Baptist Church College Ministry, c/o Deacon Minette Barnes, 8104 Hollygate Drive, Glenn Dale, MD 20769. Please include the Graduate's name on the back of the photo.

Please note that if you are a Zion member who is a graduating high school senior AND submitting a Zion Baptist Church Scholarship Application, you do not need to complete this form. Instead complete the application form at https://www.surveymonkey.com/r/2023ZBC-ScholarshipApp.

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* 1. Graduate's Information

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

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* 2. Graduate's Phone Numbers

Home number:

Cell number:

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* 3. Graduate's age (High school and below only)

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* 4. What is graduate's level (check applicable box below)

Graduating from nursery or preschool

Graduating from elementary school

Graduating from middle school

Graduating from high school

Undergraduate from college or university

Graduating with a masters degree or higher

Other (please specify)

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* 5. Graduated/Promoted from:

Name of School

Address of School

Address 2

City/Town

State/Province

ZIP/Postal Code

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* 6. Graduation/Promotion Date

Date

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* 7. Degree/Certificate/Diploma Received

Degree/Certificate 1

Degree/Certificate 2

Degree/Certificate 3

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* 8. Graduate Photo

I am uploading a copy and attaching to this form (see Q9)

I am emailing a photo to collegeministry@zionbaptistchurch.net (include Graduate's name)

I am sending a photo via U.S. mail to Zion Baptist Church College Ministry, c/o Deacon Minette Barnes, 8104 Hollygate Drive, Glenn Dale, MD 20769 (please include Graduate's name on back of photo)

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* 9. Upload photo

Use this question if you are attaching a copy of the graduate's photo to this form (file size limit 16 MB)

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 10. Verification - when finished, please click on the "Done" button as many times as it appears to ensure your submission is sent.

Student: I verify that all information is true and correct

Parent: I verify that all information is true and correct

Name of parent providing verification