College Admissions Form

NM WMU Scholarship Application
- Name
  
  First NameMiddle InitialLast Name
- Today's Date
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- 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.
- Scholarships you are applying for. Check all that apply:
- I am still in High School
- I am currently enrolled in college
- What Year
- 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.
- Are you planning to pursue a career in missions
- 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