Christ Lutheran Church
Legacy & Endowment Team
8997 South Broadway
Highlands Ranch, CO 80129
P: (303) 791-0803 / F: (303) 791-6026
Please complete this form and submit it along with your essay and two references by April 2, 2018
QUALIFICATIONS
1. Must be a confirmed and active member of Christ Lutheran Church for at least one year.
2. Must be a senior in high school pursuing a secondary education or a currently enrolled college student.
3. Must have a minimum of a 2.5 GPA.
INSTRUCTIONS
1. Complete Application (Form, essay and 2 letters of recommendation) must be submitted together by April 2, 2018.
2. Include zip codes with all addresses.
3. Scholarship recipients will be announced at the Semi-Annual Meeting April/May 2018. (date to be determined)
Date of this application
A. Personal Information
Name of Applicant:
(Last) (First) (Middle)
Address:
(Street & Number) (City) (State) (Zip)
Email Address: Phone Number:
Student’s Date of Birth:
High School Attended:
Expected Date of HS Graduation: High School GPA: 4.0 scale: 5.0 scale:
Name of intended College / University: _____
If attending college current GPA______
Have you been accepted? q Yes q Not Yet q I am in my ____year of college
What is your intended major?
Have you been confirmed? q Yes q No If no, please explain why below: ______
______
B. Christ Lutheran Church Involvement
List the Youth/Church activities you have participated in during the past four years at CLC, the areas you have served, and to what extent you were involved. Please include approximate dates/timeline:
C. Non-CLC Involvement (National and/or local organizations, School Clubs, Sports, Service organizations, Employment etc.)
List other non- CLC activities you have participated in during the past four years and the extent of your involvement:
D. Essay Question
Write an essay (not to exceed two pages) on the following:
Describe how you have demonstrated leadership abilities at CLC or in school or the community. Keep in mind leadership isn’t just about leading a group or being in charge of a group-it includes working through others on projects, taking the lead when appropriate and leading by example.
Please attach your essay to this application form.
If you are awarded the scholarship, a check will be made out to you or directly to the college or university on your behalf. Your letter of acceptance and/or confirmation of enrollment will be required before the funds are distributed.
E. Additional Information
Please provide any additional information you believe that we should know (can include special circumstances, etc.):
F. References
Please list the names and addresses of two (2) personal references and attach their reference letters to this application packet and submit by April 2, 2018. One reference should be from a friend, teacher or guidance counselor and one should be from a church member (NO Pastors or staff).
Personal Reference:
1. Name:
Address: Telephone:
Email: _
Relationship to Applicant:
Church Member Reference:
2. Name:
Address:
Telephone:
Email:
Signature of applicant: Date:
Signature of parent or guardian: Date:
Reference Form
______has made application for educational assistance from our scholarship fund and has listed you as a reference. Please complete this form and return it to us. Your answers will be kept in confidence. NOTE: Feel free to write on the back of this page or create your own letter of reference. Thank you.
1. How do you know the applicant and what do you know about his/her involvement with faith and outreach to others?
2. How long have you known the applicant?
3. Please provide your thoughts on the applicant’s integrity and reliability.
Name:
Address:
Telephone:
Email:
Occupation:
NOTE:
Please return the completed form directly to the applicant so he/she can submit a competed application packet by April 2, 2018. Thank you.
Should you have questions however, feel free to contact Steve Strom, Legacy and Endowment Committee Chairperson, Christ Lutheran Church at 303-791-0803 or
Reference Form
______has made application for educational assistance from our scholarship fund and has listed you as a reference. Please complete this form and return it to us. Your answers will be kept in confidence. NOTE: Feel free to write on the back of this page or create your own letter of reference. Thank you.
1. How do you know the applicant?
2. How long have you known the applicant?
3 Please provide your thoughts on the applicant’s integrity and reliability.
Name:
Address:
Telephone:
Occupation:
NOTE:
Please return the completed form directly to the applicant so he/she can submit a completed application packet by April 2, 2018. Thank you.
Should you have questions however, feel free to contact Steve Strom, Legacy and Endowment Committee Chairperson, Christ Lutheran Church at 303-791-0803 or .