IF YOU HAVE ANY QUESTIONS, PLEASE REACH OUT VIA EMAIL TO SCHOLARSHIP@COLLIERVILLEUMC.ORG.
Member of Collierville UMC?
If “NO”, name of United Methodist Church where you are a member:
Indicate the date you became involved in the life of said church (month and year):
Date you became a member of above church, CUMC or other (month and year):
Marital Status:
Number of Dependents:
School:
Dates Attended:
Degree:
Completion Date:
Seminary (Do Not Abbreviate):
Major/Course of Study:
What degree is being sought?
Registration dates: Fall Term:
Spring Term:
Expected graduation date:
Salary (self):
Other Income:
Salary (spouse):
School Loans:
Scholarships:
Total Income:
Rent/Mortgage:
Loans:
Utilities:
Other Expenses:
These recommendations will include the following:
(300-500 words in length suggested)
Please use this field to attach any additional information you believe is pertinent to this application.
I certify, to the best of my knowledge, that the information on this application is complete and accurate...
Signature:
Date: