Christian School Scholarship Application
Please fill out this form and click submit.
I understand the above financial guidelines.
*
Please select all that apply.
Please check the box
Name of the person completing this form:
*
Family Name:
*
Parent(s) Name(s):
*
Phone:
*
Address:
*
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Email:
*
This address will receive a confirmation email
Church Membership:
*
Please select all that apply.
I am a member of Westminster Presbyterian Church/Susquehanna Presbytery.
Date I became a member:
*
Student Information
Child 1:
Child's name:
*
Entering grade next school year:
*
Relationship to the church:
*
Please select all that apply.
Child of the Covenant
Communicant Member
Non-member
School:
*
Currently enrolled?
*
Please select one option.
Yes
No
Estimated tuition amount per child for the next school year:
*
Child 2
Child's name:
Entering grade next school year:
Relationship to the church:
Please select all that apply.
Child of the Covenant
Member
Non-member
School:
Currently enrolled?
Please select one option.
Yes
No
Estimated tuition amount per child for the next school year:
Child 3
Child's name:
Entering grade next school year:
Relationship to the church:
Please select all that apply.
Child of the Covenant
Communicant Member
Non-member
School:
Currently enrolled?
Please select one option.
Yes
No
Estimated tuition amount per child for the next school year:
Child 4
Child name:
Entering grade next school year:
Relationship to the church:
Please select all that apply.
Child of the Covenant
Communicant Member
Non-member
School:
Currently enrolled?
Please select one option.
Yes
No
Estimated tuition amount per child for the next school year:
Child 5
Child name:
Entering grade next school year:
Relationship to the church:
Please select all that apply.
Child of the Covenant
Communicant Member
Non-member
School:
Currently enrolled?
Please select one option.
Yes
No
Estimated tuition amount per child for the next school year:
Have you applied for any other financial assistance?
*
Please select one option.
yes
no
I have read and understand the scholarship Terms and Guidelines.
*
Please select all that apply.
Please check the box.
Parent(s) Signature:
*
Submit
Description
Please fill out this form and click submit.
×
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