Maine Conference of the United Church of Christ 
        God is Still Speaking,
                "Never place a period where God has placed a comma"
                                                                    - Gracie Allen
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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 ELIMINATE 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: ___________________________

MEMBER IN DISCERNMENT IN WHICH ASSOCIATION: _______________


Please provide information about the people you will support between July 1, 2009 and June 30, 2010. 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 2009/2010 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@myfairpoint.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.