| Date |
|
| Name |
|
| Gender |
|
| Home address |
|
| City |
|
| State |
|
| Zip/Postal Code |
|
| Country |
|
| Phone |
|
| E-mail |
|
| |
| Date of birth |
|
| Place of birth |
|
| Are you a U.S. citizen? |
|
| If not, what country? |
|
| |
| Parent's Data: |
| Name |
|
| Address |
|
| City |
|
| State |
|
| Zip/Postal Code |
|
| Country |
|
| Phone |
|
| E-mail |
|
| Commended by (assembly) |
|
| Dates |
|
| |
| Name |
|
| Address |
|
| City |
|
| State |
|
| Zip/Postal Code |
|
| Country |
|
| Phone |
|
| E-mail |
|
| |
| Contact Person |
|
| |
| Are you recognized as a legal
dependent of your parents? |
|
| |
| Assembly you presently attended: |
|
| |
| What school are you planning to attend? |
|
| |
Please list high schools or colleges
you have attended
include: city and state, dates attended, and year graduated |
|
| |
| Please list scholarships (with
amounts), prizes, honors, or awards you have (or will)
received this school year |
|
| |
| Please present your reasons to further your studies.
Please also tell of your relationship with the Lord: |
|
|
| |
| Major course of study |
|
| Year of study |
|
| Estimated Cost for One Year: |
Tuition |
|
| |
Housing |
|
| |
Books |
|
| |
TOTAL |
|
| What portion of these costs can
you meet? |
|
| Balance needed: |
|
| Have you applied for admission? |
|
| Have you been accepted? |
|
| Comments: |
|
| When does your course of study begin? |
|
| |
| References: Please provide
the names and addresses of at least two individuals who are not relatives
who would be willing to testify as to your character and Christian life. |
| Name |
|
| Address |
|
| Phone |
|
| Email |
|
| |
|
| Name |
|
| Address |
|
| Phone |
|
| Email |
|
| |
|
| Name |
|
| Address |
|
| Phone |
|
| Email |
|
| |
| Scholarship Agreement:
It is my intention to complete my education as outlined. I agree to
inform Stewards Ministries of the sources and amounts of any other scholarship
assistance I may receive, and to inform Stewards Ministries immediately
about any changes I may make concerning the educational program I have
begun. I understand that my scholarship will be discontinued if I do
not maintain a satisfactory academic and behavior record. I agree that
this application and all credentials submitted by me or others on my
behalf will remain the property of Stewards Ministries.
I understand that there is no formal responsibility on my part to repay
the Scholarship Fund. However, if I am involved in secular work, after
I am self-supporting, I will seek to give an equivalent gift to the
Scholarship Fund so that other deserving students may also be assisted
financially.
By submitting this form, I agree to these terms. |
| |
| Please take a moment to review your application
before submitting it.
|
