Scholarship Application Form - Little Country Church printable pdf download

Scholarship Application Form - Little Country Church

Little Country Church

Scholarship Application Form

In an effort to provide financial assistance to as many families in need as possible we

provide a wide range of financial assistance options. Please consider the options

below carefully and prayerfully.

Applicant Information

Applicant Name:

Sex: M / F

Date:

Parent/Guardian Name:

Phone:

Address:

City:

Zip:

Ministry for which you are requesting financial assistance (please circle): High Sight

Triumph

K-Zone

(Grades 4 – 5)

(Grades 6 – 8)

(Grades 9 – 12)

Financial Information – To be filled out by parent or guardian

Below is a list of the financial assistance options we have available. You may combine

more than one option for your specific situation

(ie: you could combine a payment plan with a

partial scholarship).

1. Payment plans – up to 3 months -----

for

months

2. Partial Scholarships ---

We can pay $

and we need a $

scholarship.

3. Full Scholarship – We have reserved this option for families under unusual or

extreme financial duress. By selecting this option, you will be receiving a phone call

from a pastor or ministry director to discuss your specific financial need.

(please circle) YES please call me, we need a FULL scholarship.

Parent/Guardian signature:

Date:

Thank you for taking the time to fill out this application. You will be notified shortly as

to the status of your application.

Scholarship Application Form - Little Country Church