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Scholarship Application for 2017 Bosnia IST Travel Team
This is only for applications who will be 25 years old or younger at the time of the 2017 Bosnia IST.
The deadline for submitting this application is January 12, 2017.
If you have any questions, please email Jason Reed at
bosnia@njsynod.org
.
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Gender
*
Male
Female
Gender Non-conforming
Birth Date
*
MM
/
DD
/
YYYY
Current Age
*
15-17
18-25
If age 15-17: Name of Parent/Guardian
Your answer
If age 15-17: email of Parent/Guardian
Your answer
Mailing Address
*
Your answer
City, State, Zipcode
*
Your answer
Phone number
*
Your answer
Email address
*
Your answer
Home Congregation Name
*
Your answer
Congregation City/State
*
Your answer
Grade in High School (if applicable)
Your answer
Name of College/University (if applicable)
Your answer
Where are you in the decision-making process?
*
I have submitted my Travel Team application and am ready to go!
I have submitted my Travel Team application, but have not yet made a final decision.
I have not yet applied to serve on the Travel Team.
Anything else you feel we should know at this time?
Your answer
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