Applicant Name *

First Name

Last Name

Applicant Mailing Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Applicant Phone *

(###)

###

####

Applicant Date of Birth *

MM

DD

YYYY

Applicant Citizenship *

Are you a US citizen?

Yes

No

Applicant Gender *

Male

Female

Applicant Marital Status *

Single

Married

Widowed

Children? *

Yes

No

Legal dependent of your parents?

Yes

No

Parent Name *

Please list one parent

First Name

Last Name

Parent Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent Phone *

(###)

###

####

Is parent a commended worker?

If yes, please attach his or her letter of commendation to this application.

Yes

No

Commending Assembly Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Commending Assembly Phone

(###)

###

####

School/ Program Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date Program Begins *

MM

DD

YYYY

Academic Status *

Full-time student

Part-time student

Have you applied for admission? *

Yes

No

Have you been admitted? *

Yes

No

FAFSA Application? *

Have you applied for the Free Application for Federal Student Aid?

Yes

No

Date Needed *

When do you require the funds?

MM

DD

YYYY

Non-relative Character Reference 1 *

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.

First Name

Last Name

Reference 1 Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Reference 1 Phone *

(###)

###

####

Non-relative Character Reference 2 *

First Name

Last Name

Reference 2 Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Reference 2 Phone *

(###)

###

####

High School Graduation Date

MM

DD

YYYY

High School Graduate?

Yes

No

Parent Statement of Need *

I certify that a Stewards Ministries scholarship is needed to accomplish the desired educational program.

Yes, it is needed.

Not needed (comments below)

Applicant 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.

I affirm Stewards Ministries' terms for this agreement.

I do not affirm (comment below).

Parent Electronic Signature *

First Name

Last Name

Applicant Electronic Signature *

First Name

Last Name

Today's Date

MM

DD

YYYY