Scholarship Reapplication

Please click here to download or fill out the following form.

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Name: Date:

Email Address:

Parent or Guardian Names:

Current Address:

If this is not the address you would like the scholarship sent, please list it here.

You are a member of what Church?:

Name of school presently attending:

Are you a full time student at this school, Yes or No?

What course do you intend to pursue?:

List the activities in which you have taken part, including any offices you may have held:

Please submit a current resume and/or unofficial transcript of the grades showing maintenence of at least a 2.5 GPA on a 4.0 scale.

Submit additional requested information to the Chairman of the Scholarship Committee no later than April 30th on the year the application is made. Chairman information is as follows:

Gary Forristall

12173 350th St

Macedonia, IA 51549

Or, send scanned documents to pastorbrucesmith@gmail.com