(Print out and fax or mail to the Regional Office with the application package.)
Eastern Regional AssociationName ____________________________________________________________
Address ___________________________________State_________Zip________
Telephone ______________________ E-mail_____________________________
Church Membership______________________________Pastor___________________
Marital Status:
Educational Status:
How would you explain Gods call on your life? (Use back of sheet if necessary.)
Checklist of enclosures*
_____ Official copy of transcript for last completed year of school.
_____ Financial Need Form
_____ Letter of recommendation from pastor
| __________________________________________ | _______________ |
| Signature of Applicant | Date |
Please mail or fax completed scholarship application with enclosures by September
1st to:
by mail: Eastern Regional Association
P. O. Box 1913
Rochester, NH 03866-1913
by fax: (603)332-1648