R. Steve Lowe Scholarship Application Form

R. Steve Lowe Scholarship Scholarship Application Correctional Ministries Institute, Wheaton College Billy Graham Center

Wheaton, IL
ELIGIBILTY CRITERIA

Applicants must:
- Be a Christian
- Be a U.S. Citizen
- Be established in a local church
- Possess a high school diploma or GED
- Be accepted to the Correctional Ministries Certificate Program at Correctional Ministries Institute
APPLICATIONS ACCEPTED: JULY 1 - SEPTEMBER 1
R. STEVE LOWE SCHOLARSHIP APPLICATION
THE FOLLOWING CHECKLIST HAS BEEN DESIGNED TO HELP YOU COMPLETE THE APPLICATION THAT FOLLOWS.

Complete your application including
- Application form
- Incarceration Information/Release (if applicable)
- Parole Release (if applicable)
I. Personal Data:

Tell us about yourself
Legal Name *

First Name Middle Name Last Name Preferred first name
Home Address : *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Mobile No. : *

Area Code Phone Number
E-mail : *
Where the confirmation will be send to
Sex at Birth: *

Male Female
Date of Birth: *

Month Day Year
State Issued:

Street Address

Street Address Line 2

State
Race & Ethnicity (optional):

American Indian Alaska Native Native Hawaiian Pacific Islander Asian Black or African American Hispanico/Latino White or Euro American Other
Are you a US citizen? *

Yes No
EDUCATION:
High School Attended:
Street Address

Street Address Line 2

City State

Year graduated
Did you graduate?

Yes No
Are you interested in one of the following Fine Arts Scholarships? If yes, you will need to audition or present a portfolio to meet eligibility requirements. Please call the Fine Arts Department at (888) 888-8888 to schedule an appointment.
List any accredited college/universities you have attended
What is your intended certificate track (chaplaincy or reentry) if accepted?
EMPLOYMENT HISTORY
Please provide the most recent job history
CHURCH/MINISTRY INVOLVEMENT
Name of Church you presently attend *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Describe any ministry/volunteer involvement you have had at this church. *
AUTOBIOGRAPHICAL INFORMATION
Have you accepted Jesus Christ as your personal savior? *

Yes No
Statement of Faith: Describe your spiritual journey (coming to faith in Christ and evidence of Christian growth while incarcerated and since release). (3-4 paragraphs) *

0/250
CORRECTIONAL MINISTRY

Experience, Goals & Reference
CORRECTIONAL MINISTRY EXPERIENCE: Describe your correctional ministry experience including how you got started. *

0/250
CORRECTIONAL MINISTRY GOALS: What are your correctional ministry goals and how will furthering your education in the Certificate Program assist in meeting your goals? *

0/100
REFERENCE: Please provide a reference from the correctional ministry where you serve: *

First Name Last Name
Email *
example@example.com
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number *

Area Code Phone Number
FINANCIAL NEED
Describe your financial need for the scholarship *

0/250
V. INCARCERATION INFORMATION (if applicable)
Statement of Incarceration: Describe your a.) path to incarceration, b.) illegal act (s), c.) impact on victims and, d.) how you have changed.

0/250
I was incarcerated in the following correctional institution(s):
Institution Name:
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Date of incarceration:

Month Day Year
Date
Felony Offense (s):
Institution Name:
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Date of Incarceration:

Month Day Year
Date
Felony Offense (s):
Institution Name:
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Date of incarceration:

Month Day Year
Date
Felony Offense (s):
Institution Name:
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Date of incarceration:

Month Day Year
Date
Felony Offense (s):
I, hereby grant Wheaton College the right to contact administrators of the institutions(s) above and/or conduct a criminal background check confirming my incarceration. (Initials)
PAROLE INFORMATION (if applicable)
I am currently on parole or probation in the state of

Street Address

Street Address Line 2

State / Province
Until:

Month Day Year
Date
Parole/probation officer:

First Name Last Name
Phone Number

Area Code Phone Number
Explain how a move to the state of Illinois will affect parole/probation conditions
I, hereby grant permission for the Institute for Prison Ministries staff to speak with my parole/probation officer.(Initials)
COMMUNITY COVENANT
Please read Wheaton’s Community Covenant. The covenant is designed to express the crucial Christian convictions, aspirations, commitments and responsibilities shared by the members of the Wheaton College campus family. In applying for membership in this community, you should therefore weigh carefully whether these convictions, aspirations and commitments match your own, and whether you can gladly join in fulfilling the covenant’s responsibilities.

“I affirm by my signature below that I have carefully read Wheaton’s Community Covenant, that this covenant expresses my own Christian convictions, aspirations and commitments, and that, if I am accepted and subsequently enroll as a student at Wheaton College, I will gladly join in fulfilling its responsibilities. (Please explain any questions, reservations or disagreements in an attached statement.)”

“I also affirm by my signature that all the information contained in my application, including my essays, is my own work, factually true and honestly presented.”
Name *

First Name Last Name
Signature *
Applicant's E-Signature
By signing (typing your legal name) in the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.
E-Signature: *
Wheaton College is committed to equal opportunity in employment and education. The College does not discriminate in any program or activity on the basis of race, color, religion, gender, age, national origin, disability, marital status, or any other protected class.
Should be Empty:

R. Steve Lowe Scholarship Scholarship Application Correctional Ministries Institute, Wheaton College Billy Graham Center

R. STEVE LOWE SCHOLARSHIP APPLICATION

I. Personal Data:

EDUCATION:

EMPLOYMENT HISTORY

CHURCH/MINISTRY INVOLVEMENT

AUTOBIOGRAPHICAL INFORMATION

CORRECTIONAL MINISTRY

FINANCIAL NEED

V. INCARCERATION INFORMATION (if applicable)

PAROLE INFORMATION (if applicable)

COMMUNITY COVENANT

Applicant's E-Signature