MINISTERIAL SEMINARY SCHOLARSHIP APPLICATION

(for continuing students)

Deadlines: Fall, August 1; Spring, January 1

1. Name: ______

First Middle Last

2. Home Seminary (if different)

Address: ______Address: ______

______

Phone: ( )______Phone: ( )______

3. Date of Birth______Single Engaged Married Spouse’s Name______

4. If engaged, give full name, age, and address of fiancée, and anticipated date of marriage:______

5. Children: (name and age) ______

6. Local church of which you are a member: ______

church city

7. References:

______

Pastor Laymen Professor (in major field of study)

______

______

Complete Address Complete Address Complete Address

8. Education: ______

College/Seminaries

9. Name of seminary or graduate school you plan to attend.

______

10. Date enrolled: ______Date of Graduation: ______Degree Being Earned:______

Curriculum Major: ______Semester hours now completed: ______

Semester hours now being taken: ______Anticipated date of availability for assignment by church:______

Will you be a full-time student? ______

11. Along with this application enclose a copy of your last grade report. (Need not be an official transcript)

I hereby apply for scholarship assistance from the Missionary Church while pursuing an approved course of study at:

______during the _____-_____ academic year.

Name of Institution Semester year year

______Signed ______Date

Please direct this application to:

Missionary Church, Inc

ATTN: Scholarships

PO Box 9127

Fort Wayne, Indiana 46899