Scholarship Application - Local
Name
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First Name
Last Name
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
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Area Code
Phone Number
E-mail
example@example.com
Name & Location of College/School Attending
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New students or transfers, please provide proof of enrollment, such as a letter of acceptance. Renewal applicants, please provide proof of continued enrollment, such as a course schedule.
Degree/Major or Type of Vocational/Technical Program
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Length of Program
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Year in School
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Freshman
Sophomore
Junior
Senior
Post-Graduate
Second Degree
Term(s) Applying for:
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Fall Semester Only
Spring Semester Only
Both Fall & Spring Semesters
First Time Applicants- High School GPA
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Renewal Applicants - Are you in good academic standing in your college or other program?
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Please list other grants or scholarships you expect to receive during the coming academic year.
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School & Community Activities
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Career Goals & Objectives
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Please provide a brief description of involvement in the worship and activities of St. Luke's UCC.
*
By adding the date/time in the boxes below, I verify the information is accurate and true.
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Month
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Day
Year
Date Picker Icon
Time
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Hour
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10
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30
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50
Minutes
AM
PM
AM/PM Option
Submit
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