• PERSONAL INFORMATION

  • If different from applicant’s permanent (home) address.
  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • If different from applicant’s permanent telephone number.
  • If different from applicant’s permanent email.
  • ACADEMIC INFORMATION

    • Urban Scholarship Fund (This scholarship aims to provide urban students with the opportunity to attend a full-day school program. It is designed to support students who may face financial barriers to accessing academic opportunities, and to promote academic success and personal growth.)
    • Frances Nelson Scholarship (Undergraduates/career goal in full-time Christian service - nominated by local church)
    • Phyllis Jane Stetser Scholarship ($100 High School/Undergraduate College-Mission Opportunity outside of United States for books, travel expenses or registration fees requested 3 months prior to departure)
  • If not currently enrolled, give date of last enrollment and grade.
  • If a letter grade average A,B,or C, indicate percent that letter grade is. (for example, “A= 94-100%”)
  • LOCAL CHURCH INFORMATION

  • Including attendance while at home and while away at school.
  • MM slash DD slash YYYY
  • *Please note

    It is the applicants responsibility to make sure all materials have been submitted. Any incomplete applications will not be reviewed.