Scholarship Form for Church Members
Name *
First and last name
Your answer
Email *
Your answer
Phone number *
Your answer
Which scholarship(s) are you interested in? *
Required
What year did you join 1st Congregational church? *
Your answer
List, in detail, the ways you have substantially participated in life at First Congregational UCC, Dubuque, IA, since you became a member
Your answer
Reflect on how your membership at First Congregational UCC, Dubuque, IA, has impacted your life
Your answer
Please share briefly what this scholarship will mean to you in your faith journey.
Your answer
Conference Name or Camp Name
Your answer
What is the total program cost?
Your answer
Have you received any scholarships from our church in the past? *
List past scholarships below
Your answer
I certify, to the best of my knowledge, that the information contained in this application is correct and complete. *
Your answer
Submit
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