Lundy Logue Scholarship

Scholarship Application
Parent/Guardian Information
Parent First & Last Name: *
Phone Number: *
E-Mail: *
Student Information
Child's First & Last Name: *
Enter Child's Current GPA: *
Yearly Gross Family Income: *
Number of People in Family: *
ESSAY - Tell us why you want your child to attend CCA: *
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Other Important Information:

Recipients have 7 days from time of selection notification to
accept scholarship and enroll in CCA. If acceptance and
enrollment is not complete within that time-frame, the
scholarship(s) will be awarded to another student(s)

Families will still be required to pay the Capital fee ($100 per
child) and Book fee ($350 per child) as well as any other fees
incurred throughout the school year. This scholarship is for
tuition cost only.

If a family has multiple children and only one is selected to
receive the scholarship, the second child may attend CCA at
the discounted sibling rate.

Eligibility Requirements: Parent or Legal guardian must be a
member of Apostolic Tabernacle as designated by the
Apostolic Tabernacle By-Laws.

Performance Standards: Child and Parent must adhere to
CCA’s Code of Conduct. Infractions may lead to childs
scholarship being revoked. Child must maintain a GPA of 3.0
or higher throughout funded school year. If GPA is not
maintained, the scholarship may be revoked.
Agreement & Signature
I agree and certify that: *

The above information is accurate and correct to the best of my knowledge. I (parent or guardian) affirm that I am a member of Apostolic Tabernacle as designated by the Apostolic Tabernacle by-laws.
Parent/Guardian Name: *
Parent/Guardian Signature: *

Clear
Date: *

Month Day Year
Date
Should be Empty:

Scholarship Application

Parent/Guardian Information

Student Information

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Agreement & Signature