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Home
Leadership
Session
Deacons
Staff
Committees
Bereavement
Buildings & Grounds
Cemetery
Christian Education
Finance & Endowment
Library
Media Team
Membership & Fellowship
Personnel
Scholarships
Worship & Music
Music
Chancel Choir
Youth Choir
Handbells
Special Music
Sermons
Worship
Events
Calendar
Giving
Forms
Building Use
Memorial Meal Request
Scholarship Application
Name
*
Name
First Name
Last Name
Address
*
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
*
Phone
(###)
###
####
Email Address
*
Parent(s)' Employers & Occupations
If student resides with parents:
Student or Spouse's Occuption(s)
If student is self-supporting or married.
Extra-curricular School Activities
Include any offices held:
Church Activities
Community Activities
Future Plans
*
Please provide a description of your educational and career goals in a paragraph or two:
School
*
Name of educational institution you will be attending:
Graduating Class
*
What year will you graduate?
Financials
Please list your costs for a full year (2 semesters).
Tuition Expenses
*
$
Fees
$
Books
$
Room & Board
$
Transportation
$
Other
$
Aid Available
Please list all financial aid available to you:
Scholarships & Grants
$
Tuition Waiver
$
Parent Contribution
$
Spouse's Contribution
$
Student's Assets
$
Summer Earnings
$
Other Resources
$
Signature
Signature Box
*
All boxes must be checked, and initials entered, to constitute a valid signature.
I promise to keep in touch with Union Presbyterian Church of Endicott through the Scholarship Committee.
I understand that checking this box and entering my initials below constitute my signature on this application.
Initials
*
Enter your initials here:
Date
*
Date
Enter today's date:
MM
DD
YYYY
Thank you!