Modeen Scholarship Application
Email address *
Student's Name - First, Middle, Last *
Student's Home Address (Number and Street) *
Student's Home Address (City) *
Student's Home Address (State) *
Student's Home Address (ZIP) *
Student's Home Phone Number (no spaces or separators) *
Student's Mobile Phone Number (no spaces or separators)
Information about the academic program
Name of 4-year College or University
Degree being pursued
In this upcoming Academic Year the Student will be a:
What are your projected annual education costs for the upcoming Academic Year?
Numbers only without dollar signs, commas, or periods
Tuition
Room & Board
Fees
Books
Other
Information about any Financial Aid that you are receiving
Are you currently receiving financial aid?
If you are receiving Financial Aid, what are the sources and amounts?
Supporting Documents
Upload a copy of your official transcript for the most recently completed academic year.
Upload a Letter to the Emanuel Scholarship Committee addressing your interest in the Modeen Scholarship
Certification
I am a Member in Good Standing of Emanuel Lutheran Church and in the past year, I have communed and made a recorded financial contribution.
This application provides a true and accurate representation of my academic and financial situation.
I understand that if I am not enrolled as a full time student for the upcoming semester I will forfeit the funds for that semester.
By entering your name below you attest that you have reviewed all of the information that you have provided on this form and that this form is complete and accurate. I understand that any questions without a response may disqualify you from consideration of a scholarship.
Important Information
Mr. Modeen established this scholarship fund many years ago. He was a member of Emanuel dedicated to supporting further education for the youth of our church at Upsala, a Lutheran College. After Upsala closed, his will allowed for an endowment that now benefits students of Emanuel as they grow in faith, service and pursue higher education.

To be considered for a Modeen Scholarship you must:

Be a member in good standing of Emanuel Lutheran Church (have communed and made a recorded financial contribution in the past year).

Will be attending a 4-year college full time for all semesters in the upcoming year.

Have a grade point average of 2.5 or above.

Complete 10 hours of service to Emanuel Lutheran Church. For students not returning to the Hartford area during the school year, they may complete service hours at a church where they attend school during the upcoming academic year.

Complete this application and write and upload a letter to the Emanuel Scholarship Committee addressing your interest in the Modeen Scholarship

A copy of your responses will be emailed to the address you provided.
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