Scholarship Form for Church Members

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Name *

First and last name

Email *

Phone number *

Which scholarship(s) are you interested in? *

Summer Camp for youth by Faith Formation Board

Scholarships attending meeting or conferences (Board or Committee the event falls under)

Other:

Required

What year did you join 1st Congregational church? *

List, in detail, the ways you have substantially participated in life at First Congregational UCC, Dubuque, IA, since you became a member

Reflect on how your membership at First Congregational UCC, Dubuque, IA, has impacted your life

Please share briefly what this scholarship will mean to you in your faith journey.

Conference Name or Camp Name

What is the total program cost?

Have you received any scholarships from our church in the past? *

Yes

List past scholarships below

I certify, to the best of my knowledge, that the information contained in this application is correct and complete. *

Submit

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