Student Ministry Scholarship Fund

Name

First Name

Last Name

Length of time attending the church:

Name of college or university you are/will be attending:

Is this school on a semester or quarter system?

When does the next term begin?

Date

When does it end?

Date

Current GPA from most-recent term of college or high school:

School address where checks can be mailed:

Address 1

City

ZIP / Postal Code

State / Province

Country

Email address while at school

Name of church you are attending:

Church phone number

Area of ministry where you are serving:

Ministry contact name and phone number