St. Andrew UMC Scholarship Fund Application
815 Kanawha Terrace
St. Albans WV 25177
Telephone: 304.727.7114
Name: __________________________________________________________ Date of Birth: _________________________
Address: ________________________________________ City: ________________________ St: _____ Zip: ____________
Telephone: ________________________________ Email: _____________________________________________________
Church Membership: ___________________________________________ City: ________________________ State: ______
High School: _________________________________________________ City: ________________________ State: ______
Date of HS commencement: ____________ Intended Collegiate Major: ____________________________________________
College or University: __________________________________________ City: ________________________ State: ______
Total estimated cost of one year of higher education: ___________________ Tuition per year: ——————————————
Room and Board per year: ________________________________________ Books per year: __________________________
Are you eligible for a Promise Scholarship? __________ HS GPA ______ out of ________ SAT Score: ________________
ACT Score: _______________________ Class Rank: _________________________________________________________
Estimated Family Gross income per year: ___________________________________________________________________
Number of people in the household: _______________Please list any special financial needs on the back of the application.
Please submit two recommendations on the form provided. On a separate sheet of paper please list your school, church and community activities in which you have participated. Please list any leadership positions you have held in these organizations/ activities and the years in which you participated in the organization/ activity. Please send the requested information to St. Andrew United Methodist Church no later than May 15.
Confidentiality:The identity of the applicants will not be known by the scholarship committee until the scholarships have been awarded. All information submitted as part of the scholarship application and recommendations will be held in confidence by the scholarship committee and the employees of St. Andrew United Methodist Church.
The information set forth above is true to the best of my knowledge.
Applicant Signature Date
