College Admissions Form

NM WMU Scholarship Application
- Name*
  
  First NameMiddle InitialLast Name
- Today's Date
  
  MonthDayYear
  Date
- Birth Date*
  
  MonthDayYear
- E-mail Address*
  example@example.com
- Mailing Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Phone*
  Format: (000) 000-0000.
- Parent/Guardian/Spouse Contact Information
  
  In the event we are unable to reach you, please provide the contact information of someone who will have your permission to speak on your behalf.
- Name*
  
  First NameLast Name
- Phone Number*
  Please enter a valid phone number.Format: (000) 000-0000.
- Bernice F. Elliott Memorial
  Available for: Female college or seminary students
  Requirements: Christian, preference given to those committed to full-time Christian service, WMU background, financial need.
  
  O.D. Lambirth Memorial
  Available for: College only, male or female
  Requirements: Financial need, New Mexico student attending a New Mexico school, GPA of at least 2.0.
  
  Woman’s Missionary Union
  Available for: College or seminary, male or female
  Requirements: Involved with Missions Education, member of a church affiliated with the Baptist Convention of New Mexico.
- Bernice F. Elliot MemorialO.D. Lambirth MemorialWomen's Missionary Union
- YesNo
- YesNo
- FreshmanSophomoreJuniorSeniorGraduate School
- Name of academic institution you are planning to attend*
- Area of Study*
- School Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Student ID# (If Known)
- Please share about your missions involvement. This could include working in outreach in the local church, attending Children's Mission Camp, serving as an SIT/teen leader at camp, going on mission trips, attending Children in Action group, etc.*
- YesNo
- Describe your career goals*
- Applicant's Occupation
- What amount do you anticipate needing for the coming academic year*
- Name of church where you are a member*
- How long have you attended*
- Church Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Pastor's Name*
  
  First NameLast Name
- Church/Pastor's Phone Number*
  Please enter a valid phone number.Format: (000) 000-0000.
- Please share your salvation testimony*
- Please ask 2 people to complete an endorsement/reference for you. They will do this directly from the same website (bcnm.com/scholarships).
- Name of first endorser/reference*
  
  First NameLast Name
- Phone*
  Format: (000) 000-0000.
- E-mail Address*
  example@example.com
- Name of second endorser/reference*
  
  First NameLast Name
- Phone*
  Format: (000) 000-0000.
- E-mail Address*
  example@example.com
- By signing your legal name in the space below, you are confirming that all information is true, correct, and that you are the person completing the application.
- Signature*
- *NOTE: Please print your completed form for your records before submitting.
- Should be Empty:

NM WMU Scholarship Application

Parent/Guardian/Spouse Contact Information