Name
              
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                    First Name 
                   
                
                
                  
                    Last Name 
                   
                
               
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Mailing Address
              
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                    Address 1 
                   
                
                
                  
                    Address 2 
                   
                
                
                  
                    City 
                   
                
                
                  
                    State/Province 
                   
                
                
                  
                    Zip/Postal Code 
                   
                
                
                  
                    Country 
                   
                
               
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Cell Phone
              
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                    (###) 
                   
                
                
                  
                    ### 
                   
                
                
                  
                    #### 
                   
                
               
            
            
        
          
          
            
            
            
            
            
              
                
            
              Email
              
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              Name
              
             
          
                
                
                  
                    First Name 
                   
                
                
                  
                    Last Name 
                   
                
               
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Congregation Membership
              
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              Please list any immediate family members who will be enrolled in an institution of higher learning at the same time as you and where they are enrolled:
              
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              SCHOLARHSIP SELECTION
              
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                Please choose the scholarship(s) for which you wish to apply by marking the appropriate box or boxes. Please ready carefully as the eligibility requirements differ.
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
              
                
            
              What is the name and address of the educational institution you plan to attend?
              
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              Which of the following describes your situation best?
              
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              If you marked Other/Please Explain: 
              
             
          
                
                
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
              
                
            
              What is your present cumulative grade point average?
              
                * 
              
             
          
                
                
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
              
                
            
              What is your present class rank?
              
                * 
              
             
          
                
                
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Write a paragraph describing your educational and career goals:
              
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              How often do you attend worship at Grace Lutheran Church (or your home church)?
              
                * 
              
             
          
                
                
                
                  
                    Weekly 
                  
                    Bi-Monthly 
                  
                    Monthly 
                  
                    Once or Twice a Year 
                  
                    Never 
                  
                   
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Please explain how you have served God in the following areas:
              
                * 
              
             
          
                CHURCH, SCHOOL, AND COMMUNITY
                
               
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Please write a 250-to-500-word faith statement that discusses how you have seen God working in your life and how you believe God will continue to work in your life in the future.
              
                *