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First United Methodist Church
Chanute, Kansas

Date _______________ Application for:
_____ Fall Semester Year _____
_____ Spring Semester Year _____

Name Birth date _____________________

Address at Home Phone ________________________

Address at School Phone ________________________

College/University/Area Vocational Technical School you are attended:


College/University/Area Vocational School Grade Point Average* _______________________

Classification for next year/semester: (Circle) Freshman Sophomore Junior Senior

Number of hours enrolled in this semester**__________________________________________

Numbers of accumulated college credit hours completed _______________________________

Have your career goals changed since the start of your college career?

State your frequency of attendance in the following church programs during the last two years:

Church _____________________ Sunday School ______________________

Other church related youth activities: (please list) _____________________________________

Signed _______________________________________

By signing this application, I acknowledge that I have read and understand the Estate Fund Scholarship

(Return completed application with unofficial transcripts to the First United Methodist Church Office no
later than June 1st for the fall and spring semester or January 31 for the spring semester)

*For College/University students, proof of academic standing reflecting all credit hours completed must accompany
this application.
**Full time status (12 or more hours) is required to receive grant.