Seminary Scholarship Form

Deadline for applications is June 20.

AFTER YOU SUBMIT THIS FORM, PLEASE CHECK YOUR EMAIL INBOX (THAT IS, THE EMAIL YOU LIST ON THIS FORM) FOR A CONFIRMATION EMAIL THAT YOUR APPLICATION WAS RECEIVED.

* Required Fields

*Student Name:
*Primary mailing address:
*Email Address:
*Student phone #:
*Student birthdate:
*Date of college graduation:
*College course of study (i.e. major):
*Name/Address of the seminary where scholarship will be used:
*Name of Registrar or Admissions Officer:
*Are you preparing for a full-time, ministry-related vocation?:	No Yes
If yes, explain the type of vocation:
*Do you consider the seminary where the scholarship is to be used to be an evangelical Christian seminary?:	Yes No
If yes, please explain why:
TOTAL seminary costs for one (1) year:
*Tuition $:
*Room and Board $:
*Fees and Books (estimate) $:
*TOTAL COST $:
Subtract any other scholarship, work study, grant, or other student aid:
Subtract amount (if any) $:
*BALANCE $:
If your seminary has a matching scholarship program & you have a file of any needed form or can create one (for example, scan it into a .pdf), please attach it here:
If you do not have an electronic version of the form, please ensure that it reaches the church office (First Baptist Church, P.O. Box 815, Wellsboro, PA 16901) NO LATER THAN June 20.
I certify that all statements made on this application are true to the best of my knowledge and that I have attended morning worship at First Baptist Church, Wellsboro the required amount of time during the last year (as specified on the Seminary Scholarship Information page).
*Signed (type name):
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*Authentication:
*0 + 3 =	Enter the correct answer to the math question.
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