Scholarship Application RENEWALS
St Andrew By-The-Sea
For the 2008-2009 Academic Year
Personal Data
Name: __________________________________________________________
Last First Middle
Address _________________________________________________________
Street Address or Post Office Box
___________________________________________________________
City County State Zip Code
Telephone: Home: _______________ Cell:____________________
Email: ___________________________________________________________
Present Church Membership:
Church Name: _____________________________________________
City and State: _____________________________________________
Member since: _____________________________________________
Prior church membership: ____________________________________
College/University (attending/ applied to) _________________________
Dates of attendance: _____________________________________________
School Address ___________________________________________________
School Telephone _________________________________________________
Field of Study ___________________________________________________
Grade point average: (attach copy of official transcript) ____________________
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Class Standing: |
Enrollment status: |
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Entering First year ___________ |
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Sophomore ___________ |
Part-time _________ |
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Junior ___________ |
Full-time __________ |
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Senior ____________ |
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Graduate School: First year _____Second year_________
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Indicate the semester(s) you need assistance: ___________________________
Employment status: Part time _______________Full-time _______________
Estimate of expenses for coming year:
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Tuition: |
Source of funds: |
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Housing: |
Amount your will receive from family/relatives: |
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Food: |
Amount from part-time employment: |
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Transportation: |
Potential summer earnings: |
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Miscellaneous: |
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List an awards, achievements, and/or honors you have received and extra-curricular activities in which you have participated.
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List any other grants, scholarship and loans applied for/received.
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Specify any financial circumstance that you may have which would assist the Scholarship Committee in determining your financial need.
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Please check one:
Family income
_____under $30,000 ____$30,000-$60,000 ____$60,000-$90,000 ___$90,000&above