Scholarship Application – First Lutheran Church

Name *

First

Last

Home Address *

Address Line 1 *

Address Line 2

City *

State *

Zip Code *

Parents/Guardians Name *

High School Graduation Date *

Class Rank *

GPA *

Number of Children in Your Family Attending Post-Secondary School *

List Extra-Curricular Activities, Honor and/or Awards You Received in High School (You may attach additional paper if necessary) *

Check here if you upload addition files below.

Files Uploaded

File Upload (for additional extra-curricular activities submitted)

Select File(s)

PDF Files under 2 MB Only

Name of School You Will Attend *

Reasons for Selecting This School *

Intended Major *

When Do You Expect to Complete College? *

Briefly State Your General Education Plans and Ambitions *

What are your work experiences? *

How do you meet the Church's Mission Statement? *

Financial Information

Please provide an average amount expected for a school year.

Tuition & Fees $ *

Room & Board $ *

Books $ *

Travel $ *

Miscellaneous $ *

Total Average Annual Education Expenses (total all above) $ *

This form does not total automatically, please enter the total.

Scholarship Grant Requested *

Please tell us what amount of scholarship grant you are requesting.

Please list any extenuating circumstances we should know about.

Student Signature *

Clear

Date *

mm/dd/yy