William K. Coyle, Jr. Graduate Scholarship Application Form

Personal Information

Name: *

Gender: *

Male

Female

Address: *

City: *

State: *

Zip/Postal Code: *

Country: *

Phone: *

i.e. (555) 555-5555

Email: *

Marital Status: *

Children: *

Yes

Assembly you presently attend: *

Are you a full-time commended worker?: *

Yes

If yes, what is the name of the commending assembly?:

Ministry experience: *

Ministry plans: *

Please describe how your graduate education will assist you in serving your local assembly, assembly-related ministry, or on the mission field.

School Information

School or program to be attended: *

School address: *

City: *

State: *

Zip/Postal Code: *

Country: *

Degree sought and description of program: *

Length of program: *

Anticipated completion date: *

Estimated Cost for One Year

Tuition: * $

Housing/transportation: * $

Books and fees: * $

TOTAL: * $

Projection of how expenses will be met:

Assembly gifts: * $

Other gifts: * $

Personal savings: * $

Other sources: * $

Have you applied for admission?: *

Yes

Have you been accepted?: *

Yes

Will you be a full-time student in the year for which this scholarship will apply?: *

Yes

Comments:

Please provide documentation of your school's requirement for part-time/full-time status. A screenshot is sufficient.: *

When will the program begin?: *

When is the first payment deadline?: *

Letters of Reference and Oversight

Please have the elders of your assembly forward a letter indicating their support of your educational plans. The letter should include:

An acknowledgement by the elders that the scholarship funds will be distributed through the assembly.
A statement that the elders of that assembly are willing to provide oversight for the recipient as needed.
A statement that, in the event the recipient does not fulfill his or her declared intention, the elders will remind and encourage the recipient of his or her obligation to repay the scholarship grant. (The assembly will not be responsible for the debt.)

Letters should be forwarded to the address below.

Stewards Ministries
1101 Perimeter Drive, Suite 600
Schaumburg, IL 60173

phone: (847)842-0227 or (800)551-6505
fax: (847)517-2705

Additional Information

A telephone interview will be scheduled after all required support documents have been received.
Additional information may be requested by the Scholarship Committee

Statement of Intent

In submitting this application, you are acknowledging your intention to work full-time in an assembly or assembly-related ministry or on the mission field for at least two years following completion of your studies. If you are selected to receive a scholarship, you will be required to sign a formal statement of intent that includes an obligation to repay the scholarship grant in the event that you do not fulfill the two-year service requirement.

Please take a moment to review your application before submitting it.