Rich Mullins Music and Worship Scholarship
Alumni Scholarships are awarded on the basis of Christian Character, academic merit, intended area of ministry, and financial need. Please follow the instructions listed below and fill out all the appropriate forms necessary. Deadline March 28, 2014.

1. Complete the Mullins Alumni Scholarship Application form.

2. Complete the student section of each of the three Online Reference Questionnaires. Give the Reference online form to three individuals. (One of your references should be a member of the faculty or staff at CCU.) LINK: https://docs.google.com/a/ccuniversity.edu/spreadsheet/viewform?formkey=dGJaMllwaDNRbmlWU1oxQkpET0VoeUE6MQ#gid=0

Name
Your answer
Birthdate
Your answer
Home Address
Your answer
City
Your answer
State
Your answer
Phone Number
Your answer
Home Church
Your answer
Email
Your answer
Degree Program at Cincinnati Christian University
Your answer
Anticipated graduation date
Your answer
Please list below the names of any family members who have studied at Cincinnati Christian University. Include their dates of attendance and relationship to you.
Your answer
In 300 words or less, please tell us a little about yourself, your reasons for pursuing a music/worship degree at Cincinnati Christian University and your future career goals.
Your answer
The Family Educational Rights and Privacy Act of 1974 is a Federal law that protects the privacy of student education records. Employees of CCU will not divulge information from a student record to any individual or organization without written permission from the student. By signing this Waiver, you are providing permission to release the following information to the Alumni Association Scholarship Committee: academic/grades, student account, financial aid and conduct.*
By checking the following box, I authorize CCU to release this information to the Alumni Association Scholarship Committee.
I hereby waive the right to review information included in my Alumni Scholarship Application File.
If I am a recipient of an Alumni Scholarship, I will write a thank-you note to the donor.
If I am a recipient of an Alumni Scholarship, I will serve as needed for Alumni Reunion and other Alumni events on campus.
Electronic Signature- Type Full Name
This is an e-signature and will act as a formal signature - (Congress Electronic Signatures Act :Public Law No: 106-229)
Your answer
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