Peace Village: Faith Formation in A Multifaith World
Scholarship Application
October 3-4, 2013
Congregational Church of San Mateo,
San Mateo, CA
Scholarship Information
Funding from Our Church’s Wider Mission (OCWM) has been designated to offer need-based scholarships for UCC members to participate in Peace Village: Faith Formation in A Multifaith World. The amount of scholarship support awarded will depend on both applicants’ need and availability of funds. To help ensure faithful stewardship of scholarship funds, please take time to carefully reflect on what you are able to pay and how much additional support you will need to attend this event. The scholarship application deadline is Friday, August 30, 2013.
Once we receive your application, we will respond with information about the amount of scholarship funds you will receive, as well as the registration process. Please do not register for Peace Village until you have received notification regarding your scholarship application status and related details.
Expectations of UCC Scholarship Recipients include the following:
- Current membership in a UCC church
- Commit to participating in Peace Village for the duration of the event days (Thursday, October 3 through Friday, October 4)
- After the event, commit to sharing your experience with local congregation or other affiliated ministry group
UCC Scholarship Application Form – Peace Village 2013
Applicant’s Name:______
Address:______
Phone:______Email: ______
UCC Conference: ______
Current Church Membership:______
Local Church Phone Number:______
Race/Ethnicity:______
Age: ____ Under 20 ____20-39 ____40-49____50-65____ Over 65
Please share a paragraph about why you hope to attend Peace Village and how you will share your experience with others after the event.
______
______
______
Please indicate what you are requesting a UCC scholarship to cover or offset:
____$65registration cost which includes one reception and one lunch
____ Up to $50 for meals not covered by registration (reimbursed after event upon submission of meal receipts)
____ Up to $150 for lodging costsfor Thursday night (lodging is not part of the registration process, so you must secure your own housing; suggestions for nearby hotels are provided upon registration)
____ Transportation cost as funds are available (up to 50% of transportation cost, not to exceed $200, reimbursed after event upon submission of airline receipt or driving mileage information).
Questions? Please contact Kristina Lizardy-Hajbi at or 216-736-3866.
Please submit your application toDámaris Velezby email () or fax (216-736-2229) by August 30, 2013.
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