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HAUMC FOUNDATION SCHOLARSHIP APPLICATION

Due at the HAUMC Finance office no later than May 3, 2010

Scholarship Committee, Attn: Tara Emerson, Finance Office


Hennepin Avenue United Methodist Church
511 Groveland Avenue
Minneapolis, MN 55403-3240
Phone: 612-435-1331
Fax: 612-871-4684

PERSONAL INFORMATION

Name Phone Date of Birth (optional)

Permanent Address

School Address

Your Church Affiliation

Address

COLLEGE, UNIVERSITY OR SEMINARY YOU PLAN TO ATTEND


School Name and Address

Have you been accepted? _______If currently enrolled, how long have you attended this school?

Program/Major

Career Choice

Please include a copy of your current transcript if you are a student now.

EDUCATIONAL HISTORY
Previous Schools (w/location) Program GPA Year(s) Degree

Special Skills or Aptitudes


2010 – 2011 SCHOLARSHIP APPLICATION (page 2)

4/20/13
EMPLOYMENT HISTORY

List your last three employers.

Employer Nature of Work Dates ___________

FINANCIAL INFORMATION

Estimated tuition, books, and fee expenses _____

Estimated living expenses _____ _____

Expected financial aid from other sources (family, government, school, employer tuition reimbursement)

____________________________________

Previous support you received from the Hennepin Church Foundation (Amounts and years):

AUTHORIZATION
I certify that to the best of my knowledge, the information contained in this statement is correct and complete.
I understand any grant awarded will be for the 2010-11 school year only and that grants for future years must be
applied for separately and will not be automatically approved.

Applicant’s signature Date

Application deadline: May 3, 2010


Send completed application and attachments
by mail, fax or email to: Attachments:

Scholarship Committee (Attn: Tara Emerson, Finance Office) Copy of Transcript


Hennepin Avenue United Methodist Church Essay
511 Groveland Avenue Reference letters (May be sent
Minneapolis, MN 55403-3240 separately from your application, but
Fax: 612-871-4684 must be received by the May 3
E-mail: Tara@haumc.org deadline.)

4/20/13

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