SCHOLARSHIP APPLICATION FORM
(Deadline - April 30, 2017)
□
FIRST UNITED METHODIST CHURCH SCHOLARSHIP
Check
one or
□
MARGARETTA VANAMAN SCHOLARSHIP
both
(Collingswood FUMC members OR active in programs at Fellowship House)
PERSONAL INFORMATION
NAME
PHONE
EMAIL
PRESENT ADDRESS
CITY
STATE
ZIP
PERMANENT ADDRESS
CITY
STATE
ZIP
EDUCATION
YEARS
GRADUATION
HONOR ROLL /
SCHOOL LEVEL
NAME AND LOCATION
ATTENDED
DATE
DEAN’S LIST
High School
Yes / No
College – one you
are attending or
Yes / No
planning to attend
ACTIVITIES (School, Church, Christian Organizations, etc.)
COLLEGE GOALS / INTENDED MAJOR(S)
LIFE GOALS
CE08