SEMINARIAN SCHOLARSHIP APPLICATION
MAINE CONFERENCE, UNITED CHURCH OF CHRIST
The Witness Life Commission is charged with the awarding of scholarships
to seminary students. This application form helps us to know something
about the applicant to assist the Commission to fairly and equitably
award scholarship monies to students in need.
1) Please complete ALL questions
2) Attach proof of seminary enrollment
3) Attach a copy of the letter granting in-care status in your Association
within the Maine Conference.
4) On a separate sheet please write a brief essay about your seminary
career, including date of enrollment, anticipated graduation date,
and course load. Please share details about full or part-time employment
and how you balance your busy schedule. Finally, please tell us
something about your involvement with your local church, association
and conference.
FAILURE TO INCLUDE ALL FOUR REQUIRED DOCUMENTS WILL PREVENT THE APPLICATION
FROM CONSIDERATION.
NAME: _______________________________________________
(LAST) (FIRST) (MI)
ADDRESS: ____________________________________________
EMAIL:
_____________________________________________
TELEPHONE:
_________________________________________
SOCIAL
SECURITY NUMBER: ____________________________
CHURCH
MEMBERSHIP HELD AT: _________________________
SEMINARY:
________________
ANTICIPATED GRADUATION DATE: _______________________
#
IN HOUSEHOLD &: # DEPENDENTS:
_______________________
IN-CARE
IN WHICH ASSOCIATION: _______________________
Please provide information about the people you will support between
July 1, 2008 and June 30, 2009. Include yourself, your spouse/partner,
your dependent children (if they receive more than half of their support
from you and/or your spouse/partner), and other people (if they will
live with you and receive more than half of their support from your
household).
Name / Relationship
If you need additional space, please attach a separate sheet of paper.
List
the members of your household, including yourself, who will be enrolled
at least half-time (six credits) in a post-secondary institution during
the 2008/2009 academic year.
Name of student /School
Do you expect to receive scholarship money from any other sources?
Please list all sources.
(IF YOU RECEIVE NOTICE OF SCHOLARSHIPS AWARDED AFTER YOU SUBMIT THIS
APPLICATION BEFORE MAY 31st, PLEASE NOTIFY: Rev. Margaret E. Proctor,
1039 Main St., Lot # 18, Wilton, ME 04294: or by e-mail at revmep@verizon.net
How do you plan to pay your tuition and living expenses while attending
seminary?
Do you have accumulated seminary debt? No Yes Amt $
What
other household income do you have?
Please
return this application no later than May 15th to:
Rev. Margaret Proctor
1039 Main Street, Lot 18
Wilton, ME 04294
Scholarships
will be awarded at our June meeting and you will receive notification
via email or letter.