Phone number *
Phone type Mobile Home Work Other
Are you a dependent? If so, select the one on which you are a dependent. *
List your parents' address if different than yours.
Are you active in your church? *
Select… Yes No
Please list church activites or committees you recently served.
EDUCATIONAL INSTITUTION OR TRAINING *
Please list the name of the institution you will be attending, the tuition, fees, and anticipated costs for books.
I have formally been admitted to the program. *
Select… Yes No
I have met the requirements for this program. *
Select… Yes No
Is payment to this institution required quarterly or semesters? *
Will you be attending summer school? *
Select… Yes No
Grade Point Average last semester (high school or college)? *
(Adults retraining not applicable.)
RESOURCES *
List sources of financial support you are receiving for this educational program, scholarships, grants, loans, etc. Please be as accurate as possible when quoting amounts.
List all loans, grants, etc. pending or anticipated. *
Are you currently working? *
Description of employment *
Do you expect to work while attending college or a comparable institution *
Select… Yes No
Are you currently carrying outstanding education loans? *
Select… Yes No
In the space provided please summarize your educational and career goals that may be achieved by the support of the Anderson Hills Church Educational Support Program. *
INTERNSHIP
There is an internship component involved with this support program. The applicant will be expected to help in the church in the area in which he/she is comfortable (youth fellowship, teaching Sunday School, secretarial services, janitorial, etc.), and this commitment is to be done on a regular basis. Please list below the talents and/or work experience you could apply toward fulfilling the internship. If you are currently interning, describe your service, number of hours served monthly and where service occurs. Will you continue to serve the same place if given financial consideration. If not, where?
REFERENCES (for first-time submission/reapplication) *
Two letters of references are required of each applicant. One should be from a pastor in your church and one from another person who will address your character and performance qualifications. Please list the names and addresses of those references. If re-applying for funding a letter verifying service is required. No further references are needed. For a re-application, a transcript of current grades is to accompany this form.
Submit a transcript of your current grades. First-time applicants also submit transcripts from previous educational programs and/or a work history.
Add up to 5 files. Maximum file size 10 MB.
CERTIFICATION
Check "Yes" if you certify that the information provided is true to the best of my knowledge. I also agree to serve an internship, as decided by myself and a pastoral representative of Anderson Hills Church.
Submit
