The Pierstorf Memorial Fund Application 2018-2019
Application Deadline: June 30, 2018. Applications and required documents must be received or postmarked by June 30, 2018.
This application applies to the 2018-2019 school year only.
You must reapply each year to receive additional loans.
Personal & Contact Information
Student legal name (First, Middle, Last) *
Your answer
Student's street address *
Your answer
City, State and Zip Code *
Your answer
Home Phone Number *
Your answer
Student's date of birth *
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Student's mobile phone number *
Your answer
Student's PERSONAL email address *
Your answer
Student's SCHOOL email address
Your answer
Father's name (First and Last) *
Your answer
Father's email address *
Your answer
Father's Employer *
Your answer
Mother's name (First and Last) *
Your answer
Mother's email address *
Your answer
Mother's employer *
Your answer
Your High School or College Transcript Information
A transcript must be provided. You can send an electronic version to Pierstorf@MessiahFP.org or mail it to:

The Pierstorf Memorial Fund Committee
21485 Lorain Road
Fairview Park, OH 44126

High school seniors: Provide your complete high school transcript through the first semester of the 2017-2018 academic year.

College students: Provide an unofficial copy of your complete college transcript through the 2017-2018 academic year.

My transcript is... *
Indicate your year in college for the 2018-2019 academic year. *
Our Fund could assist with up to four loans and you must begin repayment after graduation, or a maximum of five years. Deferment of your loan repayment is allowed for only this period. Payments cannot be deferred if you choose to pursue further degrees.
Name of my college or university *
Your answer
State where my school is located *
Your answer
Is your school an accredited four-year school? *
The Fund is only able to provide a loan if you are attending an accredited four-year college or university.
Are you transferring between schools? *
If "Yes", from where are you transferring?
Please include the reason for your transfer.
Your answer
Anticipated graduation date *
Graduation Date for your Undergraduate Degree Only
Financial Information
Copy and provide all pages of the Financial Offer letter you received from the college/university. We must have the total cost of your education for the coming year and your expected contribution to the cost. This information is included in your Financial Offer letter.

You can send an electronic version of your Financial Offer to Pierstorf@MessiahFP.org or mail it to:

The Pierstorf Memorial Fund Committee
21485 Lorain Road
Fairview Park, OH 44126

My Financial Aid Award Notice is... *
How much student loan debt have you and your parents accumulated so far in pursuit of your education?
Your answer
Check one *
What loan amount are you requesting from the Pierstorf Memorial Fund this year? *
Only the loan amounts shown below are eligible
Pastor's Endorsement Form
FIRST-TIME APPLICANTS ONLY -- PRINT AND COMPLETE A SEPARATE PASTOR FORM THAT YOU WILL FIND AT OUR WEBSITE UNDER THE "FORMS" TAB

You or your Pastor can upload an electronic version of the completed Pastor Form and send it to Pierstorf@MessiahFP.org or mail it to:

The Pierstorf Memorial Fund Committee
21485 Lorain Road
Fairview Park, OH 44126

Be sure you are eligible for a Pierstorf Memorial Fund loan. You and/or your parent/legal guardian must be a member of a Lutheran church in one of the following northern Ohio counties: Cuyahoga, Geauga, Lake, Lorain, Medina, Portage, or Summit.

The completed Pastor's Endorsement is... *
Pastor's name *
Your answer
Church name *
Your answer
Church address *
(Street address, City, State, Zip)
Your answer
Student Essay
Your writing sample should be approximately 350 words.

You can upload your Essay below, type it into the text box, or send it to Pierstorf@MessiahFP.org.

Topic for High School seniors: Tell us about your high school experience and how prepared you feel as you enter college.

Topic for College students: Please describe your college experience - highlights, significant events, something special. Be creative!

Enter your essay here if you have it available
You may type or copy/paste your essay into this answer box.
Your answer
Signature Section
This electronic signature will be accepted as a valid signature on this document.
Applicant's signature *
Type your full name here
Your answer
Signature date *
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Parent/Guardian's signature *
Type your full name here
Your answer
Signature date *
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