NORTHEAST INDIANA NAZARENE YOUTH INTERNATIONAL

APPLICATION FOR SCHOLARSHIP – OLIVET NAZARENE UNIVERSITY

PLEASE PRINT OR TYPE, ATTATCH ADDITIONAL PAPER IF YOU NEED MORE SPACE FOR ANY ITEMS BELOW.

PERSONAL INFORMATION:

Name: ______Age: ______Telephone: ______

Address: ______City: ______State: _____ Zip: ______

FAMILY INFORMATION:

Father’s Name: ______Occupation: ______

Mother’s Name: ______Occupation: ______

Number of additional family members: ______(Please provide names and ages in the space below.)

Name: ______Age: _____ Name: ______Age: _____

Name: ______Age: _____ Name: ______Age: _____

CHURCH INFORMATION:

Name of church: ______

Describe your involvement in ministry, positions of leadership, and involvement in church and youth activities in the local, zone, and district church: ______

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Have you personally accepted Jesus Christ as your Lord and Savior? Yes No

Have you fully committed your life to him? Yes No

Describe your relationship with Jesus. Include in your testimony how you came to a commitment to Christ and how you have grown in your Christian walk:

______

HIGH SCHOOL INFORMATION:

Please list your extracurricular activities: ______

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COMMUNITY INVOLVEMENT:

Please list and explain your community involvement: ______

______

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MISCELLANEOUS INFORMATION:

List and describe any scholarships, honors or special recognition you have received for academics or extracurricular activities: ______

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List and describe any employment experiences. (type of job, hours per week, when you were employed, etc.)

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COLLEGE INFORMATION:

Intended career or major: ______

Make a brief statement of your purpose in attending Olivet: ______

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When did you apply to Olivet? ______When were you accepted? ______

When do you plan to enter Olivet? Fall Spring

How are you planning to finance your Olivet education? ______

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RECOMMENDATIONS:

Pastor: ______Phone: ______

Teacher/School Official: ______Phone: ______

Adult Friend/Acquaintance: ______Phone: ______

Application must be postmarked by January 21, 2017

MAIL TO: RENAE CHAPMAN – 19995 ALOU LANE – SOUTH BEND, IN 46637

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