R. Steve Lowe Scholarship Application Form

R. Steve Lowe 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
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)
I. Personal Data:

Tell us about yourself
Legal Name*

First NameMiddle NameLast NamePreferred first name
Home Address :*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mobile No. :*

Area CodePhone Number
E-mail :*
Where the confirmation will be send to
Are you a US citizen?*

YesNo
EDUCATION:
Level of Education:
Type a question
CORRECTIONAL MINISTRY
Name of Ministry you currently serve with*
Ministry Website: *
Describe your ministry title and involvement:*
Ministry Supervisor:

First NameLast Name
Ministry Supervisor Email:
example@example.com
CHURCH/MINISTRY INVOLVEMENT
Name of Church you presently attend*
Address*

Street Address

Street Address Line 2

CityState / 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?*

YesNo
Statement of Faith: Describe your spiritual journey, coming to faith in Christ and your current spiritual life. *

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

CityState / Province

Postal / Zip Code
Date of incarceration:

MonthDayYear
Date
Felony Offense (s):
Institution Name:
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Incarceration:

MonthDayYear
Date
Felony Offense (s):
Institution Name:
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of incarceration:

MonthDayYear
Date
Felony Offense (s):
Institution Name:
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of incarceration:

MonthDayYear
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)
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 Application Correctional Ministries Institute, Wheaton College Billy Graham Center

I. Personal Data:

EDUCATION:

CORRECTIONAL MINISTRY

CHURCH/MINISTRY INVOLVEMENT

AUTOBIOGRAPHICAL INFORMATION

V. INCARCERATION INFORMATION (if applicable)

Applicant's E-Signature