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Scholarship Application
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* Indicates required question
Name
*
Your answer
Street Address, City, State and Zip Code
*
Your answer
Email
*
Your answer
Telephone
*
Your answer
Church Name
*
Your answer
City the church is located in
*
Your answer
Leadership role(s) in local church
Your answer
Event
*
Your answer
Sponsored by
*
Your answer
Dates
*
Your answer
What classes/workshops will you attend?
Your answer
How could these classes/workshops be used in your church and in the Presbytery to fulfill the Presbytery of Lake Michigan’s priorities, goals and core values?
Your answer
Itemized cost of this opportunity
*
Your answer
Total Cost
Your answer
Amount requested
*
Your answer
Have you requested funds from your local church?
Yes
No
Clear selection
How much will you receive from your local church?
Your answer
Have you requested funds from other sources?
Yes
No
Clear selection
How much will you receive from other sources?
Your answer
In accepting this scholarship, I would be willing to share what I have learned with others in the Presbytery.
*
Yes
No
Signed
*
Your answer
Date
*
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