Higher Education Scholarship Application
Higher education scholarships are available to Logan County Presbyterian (PCUSA) members who meet the eligibility requirements listed below. Funds are provided through the annual interest from endowments established for this purpose. All applicants must be a member of a Logan County PCUSA church. All scholarships are administered by First United Presbyterian Church, Bellefontaine, OH.
Note: This application is due no later than 4:00 PM April 15. (late applications will not be considered). Please be sure to submit your unofficial transcripts (Graduating HS students submit High School transcripts and college students provide cumulative college transcripts). Your reference person must also submit your reference form by 4:00 pm April 15.
Before beginning this application, also have transcripts ready to attach at the end of the application.
Applicant's Name
*
First Name
Last Name
I am a member at
*
Please Select
Belle Center United Presbyterian Church
First United Presbyterian Church Bellefontaine
Huntsville Presbyterian Church
My Pastor's name is:
*
High School Attended
*
HS GPA if graduating this year:
Permanent Address
*
Street Address
Street Address 2
City
State / Province
Postal / Zip Code
Applicant's Mobile Phone Number
*
Please enter a valid phone number.
Applicant's Email
*
example@example.com
College/University
*
I will be a
*
Full Time Student
Part Time Student
I am pursuing my
*
Please Select
Associate's Degree
Bachelor's Degree
Master's Degree
Doctorate Degree
Continuing Education Class(es)
This coming year, I will attend...
*
1 Semester
2 Semesters
3 Semesters
Major/Minor
*
Cumulative GPA:
*
DNA if incoming Freshman
I will be entering my ___ year of school:
*
Please Select
1st
2nd
3rd
4th
5th
6th
I plan to attend a total of ___ years of school:
*
Please Select
1
2
3
4
5
6
Applicant's Place of Employment
if applicable
Postion & Number of hours/week
DNA if not working
Parent 1: Name
Parent 1: Email AND Cell Phone Number
*
Email Address & Cell Phone Number
Parent 1: Place of Employment
Parent 1:Occupation/Employment Status
Occupation AND Employment Status (FT, PT, NA)
Parent 2: Name
Parent 2: Email AND Cell Phone Number
*
Email Address & Cell Phone Number
Parent 2: Place of Employment
Parent 2:Occupation/Employment status
Occupation AND Employment Status (FT, PT, NA)
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I am applying for the following scholarships (Check all that you are eligible for)
*
Richard & Evaline Knief Scholarship: awarded to members of Logan County Presbyterian (PCUSA) churches.
Wayne & Pearl Lawrence Scholarship: awarded to members of 1st UPC Bellefontaine
Nancy J Merrilees Scholarship: Awarded to a 1st UPC Bellefontaine member pursuing the teaching profession.
During the past several years:
Graduating HS Senior: List high school extracurricular/community/service activities College Student: List college/community/service activities
Extracurricular/community/service activities
*
Current Church Involvement: Rate yourself in the following areas
5 = actively involved; 0 = not involved
Sunday School Attendance
*
Please Select
5
4
3
2
1
0
Worship Attendance/involvement
*
Please Select
5
4
3
2
1
0
Mission Trip Attendance
*
Please Select
5
4
3
2
1
0
Usher
*
Please Select
5
4
3
2
1
0
Not available to me at the time
Youth Group/Fellowship
*
Please Select
5
4
3
2
1
0
Committee Member
*
Please Select
5
4
3
2
1
0
Other (list item below in comments)
*
Please Select
5
4
3
2
1
0
Comments/additional information on items above:
If not currently living in Logan County, are you involved in a church community or faith-based organization? If yes, list the organization and your involvement.
*
Over the past year, how would you describe your faith journey?
*
Financial Information:
Total number of dependents in my family (# claimed for tax purposes)
Number of family members attending college next school year (including applicant)
Approximate cost (tuition, room, board) for one year of college
The amount my parents/I will provide toward my educational expense
Amount I expect to earn from employment during the year
The amount of financial aid/student loans I will receive next year
Balance needed for school year
Scholarships I have received/plan to receive next year
List scholarships and amounts
Please list any extenuating circumstances which have or will affect your family's income (i.e. large medical bills, loss of income, single parent household, etc.
Additional comments/information to share with the scholarship committee:
My reference person's name is
reference person name
*
and his/her phone number is
telephone number
.
1. To the best of my knowledge, all the information in this application is complete and accurate and I am submitting the application before the April 15, 4:00 pm deadline. 2. I understand that if I am unable to attend school in the coming year, I will notify First United Presbyterian Church immediately and return the full scholarship grant to the committee (extenuating circumstances can be considered by the committee). Failure to notify the committee will result in the applicant being ineligible to apply for future scholarships. 3. I have contacted my reference person and s/he has/will submit the reference before April 15, 4:00 pm deadline.
Please respond by clicking the appropriate button below, stating your agreement and understanding of the items (#'s 1-3) listed above.
*
I agree to the above statement and will comply as stated.
I do not agree with the above statement and will not be eligible to receive a scholarship.
Applicant's Signature
*
Parent Signature (if applicant is a graduating HS Senior)
Upload Cumulative Unofficial Transcripts
*
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