General Scholarship Application
Email address *
Information about the Student
Student's Name - First, Middle, Last *
Your answer
Student's Home Address (Number and Street) *
Your answer
Student's Home Address (City) *
Your answer
Student's Home Address (State) *
Your answer
Student's Home Address (ZIP) *
Your answer
Student's Home Phone Number (no spaces or separators) *
Your answer
Student's Mobile Phone Number (no spaces or separators)
Your answer
Information about the academic program
Name of Educational Institution, College or University
Your answer
Degree or Designation Being Pursued
Your answer
In this upcoming Academic Year the Student will be a:
Description of the academic program or project and how it supports your future goals
Your answer
What are the projected annual education costs for the upcoming Academic Year?
Numbers only without dollar signs, commas or periods
Tuition
Your answer
Room & Board
Your answer
Fees
Your answer
Books
Your answer
Other
Your answer
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?
Your answer
Certification
I am a member of Emanuel Lutheran Church, in good standing, 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 stated above I will inform the Emanuel Church Office as soon as possible to determine if my award is affected.
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.
Your answer
Important Information
The consideration of financial need may require additional documentation from you.
A copy of your responses will be emailed to the address you provided.
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