Commended Workers' Dependent Scholarship Application Form

Personal Information

Name: *

Gender: *

Male

Female

Address: *

City: *

State: *

Zip/Postal Code: *

Country: *

Phone: *

i.e. (555) 555-5555

Email: *

Date of birth: *

Place of birth: *

Are you a U.S. citizen?: *

Yes

If not, what country?:

Parent's Data

Name: *

Address: *

City: *

State: *

Zip/Postal Code: *

Country: *

Phone: *

i.e. (555) 555-5555

E-mail: *

Commending Assembly: *

Dates Commended:

i.e. Jan 15, 2000 - May 5, 2006

Commending Assembly Info

Assembly Name: *

Address: *

City: *

State: *

Zip/Postal Code: *

Country: *

Phone: *

i.e. (555) 555-5555

Email:

Contact Person: *

Schooling Information

Are you recognized as a legal dependent of your parents?: *

Yes

Assembly you presently attended: *

What school are you planning to attend?: *

(please include address)

Please list high schools or colleges you have attended:

Please include: city and state, dates attended, and year graduated

Please list scholarships (with amounts), prizes, honors, or awards you have received or will receive this school year:

Please present your reasons to further your studies. Please also tell of your relationship with the Lord: *

Major course of study: *

Year of study: *

Estimated Cost for One Year

Tuition: * $

Housing: * $

Books: $

TOTAL: * $

What portion of these costs can you meet?: * $

Balance needed: * $

Have you applied for admission?: *

Yes

Have you been accepted?: *

Yes

Comments:

When does your course of study begin?: *

References

Please provide the names and addresses of at least two individuals who are not relatives who would be willing to testify as to your character and Christian life. Please have them each submit a reference form, which can be found on this website: "Children of Commended Workers - Reference"

Name: *

Address: *

Phone: *

i.e. (555) 555-5555

Email: *

Name: *

Address: *

Phone: *

i.e. (555) 555-5555

Email: *

Name:

Address:

Phone:

i.e. (555) 555-5555

Email:

Scholarship Agreement:
It is my intention to complete my education as outlined. I agree to inform Stewards Ministries of the sources and amounts of any other scholarship assistance I may receive, and to inform Stewards Ministries immediately about any changes I may make concerning the educational program I have begun. I understand that my scholarship will be discontinued if I do not maintain a satisfactory academic and behavior record. I agree that this application and all credentials submitted by me or others on my behalf will remain the property of Stewards Ministries.

I understand that there is no formal responsibility on my part to repay the Scholarship Fund. However, if I am involved in secular work, after I am self-supporting, I will seek to give an equivalent gift to the Scholarship Fund so that other deserving students may also be assisted financially.

By submitting this form, I agree to these terms.

Please take a moment to review your application before submitting it.