Page 3 of the R.H. Scholarship Application for Applicant Number: _____
CENTRAL LUTHERAN CHURCH FOUNDATION
RAY HELGERSON YOUTH EDUCATIONAL SCHOLARSHIP APPLICATION
Church Office Copy
PLEASE TYPE!
Name (First, Middle, Last)
Address (Street, City, Zip)
Phone Number ______
ELCA Church Affiliation______
SIGNATURE OF APPLICANT:______Date:______
SIGNATURE OF PARENT:______Date:______
(If applicants are under 18 years of age)
To be completed by Church Manager or Office Administrator:
Date Received in Office:______Initials:______
PLEASE TYPE!
CENTRAL LUTHERAN CHURCH FOUNDATION
RAY HELGERSON YOUTH EDUCATIONAL SCHOLARSHIP APPLICATION
Scholarship Committee Copy
High School ______
Year of Graduation: 20_____ High School Grade Point Average:______
Post Secondary School Attending (University, Technical College, Other)
Post Secondary Grade Point Average: ______
What is your planned major or course of study at this post-secondary institution?
1. Please write a paragraph (100-200 words) addressing the following questions.
a. What are your personal / educational goals?
b. How has your church experience shaped your goals?
2. You are required to demonstrate the ability to self-fund a portion of your educational expenses through part-time work while in high school. Please describe your employment experience starting with your recent employment (please include dates).
Position Held: Rate of pay and hrs/wk Length of time with this job
In addition, how much of your earnings did you save for education expenses? (Either total amount or percentage of your earnings.)
3. a) To receive this scholarship you must be voluntarily active in the ministry of Central Lutheran while in High School, or in some other ministry involvement while in post-secondary school. Describe how you have met this requirement, and in which church(es) you have active since and including high school.
b) Please give a brief summary of all your volunteer experiences you have experienced elsewhere besides church, especially those experiences from high school and in the community.
4. Please write a short paragraph, 100 words or less, telling us why you are a deserving scholarship candidate.
5. Are there any unusual circumstances that you wish the scholarship committee to know that may assist you in awarding the scholarship? If so, please explain in detail. (EXAMPLE: I was unable to work during high school, because I was needed at home to help take care of my younger siblings while my parent(s) worked OR I could not work do to physical handicapped)