Scholarship for Education Majors - Application Form

PRINT & complete this form - Mail to the address provided below

Name:      Social Security #  
   
Home address:
Street
City   State Zip
Telephone
E-mail

School address:
Street
City   State Zip
Telephone
 
Parents' names:
Present year in college:
Age:
Gender: F         M 
GPA at time of this application:
College/university you are attending:
   
Address of Financial Affairs office for college/university listed in the blank above.
 
Applicant's Signature:
 		 Date:
Parent's Signature:
 		 Date:
In addition to the information above, submit the following on separate sheets

  1. List of current classes

  2. Activities in school, church, community

  3. Hobbies (use of free time);

  4. A BRIEF paragraph explaining your personal background

  5. Statement of goals, including goals you have already achieved.

  6. Letter of recommendation submitted separately from a pastor or youth leader.
Return completed applications to the address shown at right (via mail). Community of Christ
Professional Teachers/Educators Assoc.
201 Oak Hill Cluster
Independence, MO  64057

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