NAME__________________________________________________________________
Address (Home) __________________________________________________________
Phone (Home) ( ) _____________________ (Work) (____) ____________________
(Cell) ( ) __________________ E-mail _______________________________
Year Graduated: __________ Institution: ____________________________________
Employment after this degree: (present to past)
Position Church/ Institution City, State From (yr) To (yr)
_______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________
List any additional employment since graduation on back of page.
CURRENT GRADUATE PROGRAM
Enrolled: _________________________________ Degree Pursued: _____________ (Must be accredited institution)
Year admitted into program: ______ Anticipated year of graduation: ______
(The following information will be held confidential.)
Base Salary (Annual): _______________ Total Pay Package (Annual): _____________
Financial Need in the graduate program for the next academic year:
Estimated Expenses Anticipated Income
Tuition _________________ Personal Resources ___________________ Books __________________ Employing Agency ___________________ Travel __________________ Loans ______________________________ Lodging/Meals ___________ *Auxiliary Scholarship ________________ Other __________________ Other Grants ________________________ ========== ========== Total ____________ Total ____________
*Enter amount requested. (This is not a guarantee of receipt amount.)
NOTE: Total Estimated Expenses should equal Total Anticipated Income. If they do not equal, please give explanation under Special Considerations below.
SPECIAL CONSIDERATIONS OF FINANCIAL BURDEN: (For example, number of dependents, dependents in schools of higher education, unusual expenses not reimbursed, uncertain anticipated income.) __________________________________________________________________________________________
__________________________________________________________________________________________
Signed: ______________________________________ Date: _____________________ Return completed application to: |