Good Kids Scholarship
The Good Kids Scholarship
Application form
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Sponsored by: The Aurora United Methodist Church Student Loan / Scholarship Committee P.O. Box 293 Aurora, NE 68818-0293 |
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The criteria for this scholarship is based on the following five areas:1) Have successfully completed a high school graduation. 2) Will be (Are) enrolled in an undergraduate, graduate, or post-graduate institution. 3) Is a member of the Aurora United Methodist Church 4) Is (was) an active participant in the Aurora UMC. 5) Shows economic need. |
1) Name of Applicant: __________________________
Address: _________________________ City and Zip: _______________
2) Name and Address of high school:
_____________________________________________________________
_____________________________________________________________
Date of graduation: _______________
3) Name and address of institution of higher education that you will be (are) attending:
________________________________________________________________
_____________________________________________________________
4) Are you a member of the Aurora United Methodist Church?: ________
5) List the activities that you have participated (continue to participate) in at the Aurora United Methodist Church (please feel free to use separate sheets of paper):
6) Explain to us your need for financial assistance:
What do you anticipate your expenses will be?
Tuition $ _________
Room and Board $ _________
Books and supplies $ _________
Other: _________________
______________________ $ _________
TOTAL = $ _________
What other financial resources do you have?
Other loans and scholarships $ _________
Personal earnings and resources $ _________
Financial assistance from family $ _________
Other: ___________________
________________________ $ _________
TOTAL = $ _________
7) If you are not selected for this scholarship do you want to be considered for a Student Loan? NOTE: Acknowledgment to this answer will not play a role in consideration of your scholarship application.
Yes _____ No _____
8) Is there any other information you feel the Student Loan / Scholarship Committee should take into account in awarding The Good Kids Scholarship?
________________________ ______________
Signature Date
All applications of The Good Kids Scholarship are due to the church office by April 15, 2005
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For further information please contact the church office at 402/694-6471 or auroraumc@hamilton.net
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