Higher Education Scholarship Form

HIGHER EDUCATION SCHOLARSHIP FORM

Deadline for applications is June 20.

AFTER YOU SUBMIT THIS FORM, PLEASE CHECK YOUR EMAIL INBOX (THAT IS, THE EMAIL YOU LIST ON THIS FORM) FOR A CONFIRMATION EMAIL THAT YOUR APPLICATION WAS RECEIVED.

Student Name

Primary mailing address

Email *Please fill the required field.

Phone

Student birthdate:

Date of high school graduation

High school course of study (for example, "College Prep")

Educational status

Will you be a full time student? (Note: the scholarship requires the applicant to be a full time student.

Name/Address of institution where scholarship will be used *Please fill the required field.

Name of Registrar or Admissions Officer *Please fill the required field.

Are you preparing for a full-time, church-related vocation?

If yes, explain the type of vocation

Do you consider the institution to be an evangelical Christian institution?

If yes, please explain why

TOTAL institution costs for one (1) year:

Room and Board $

Fees and Books (estimate) $

TOTAL COST $ *Please fill the required field.

Subtract any other scholarship, work study, grant, or other student aid: *Please fill the required field.

BALANCE $ *Please fill the required field.

If you do not have an electronic version of the form, please ensure that it reaches the church office (First Baptist Church, P.O. Box 815, Wellsboro, PA 16901) NO LATER THAN June 20. I certify that all statements made on this application are true to the best of my knowledge and that I have attended morning worship at First Baptist Church, Wellsboro the required amount of time during the last year (as specified on the Higher Education Scholarship Information page). *Please fill the required field.

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3 + 4 = ?

HIGHER EDUCATION SCHOLARSHIP FORM

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