
Application for
the 2004
(for scholarship
recipients who are reapplying)
Summary of Qualifications
The 2004
1. Be a recipient of the ICN Resources College
Scholarship in a prior year, and
2. Have a cumulative grade point average from college
of at least 3.0, and
3. Be currently attending an accredited public or
private college or university, and
4. Be in good standing and actively participating in a
local church body, and
5. Complete this application in full,
and submit to it to
The award amount of this annual
scholarship depends on the number of scholarships awarded, as well as the
amount of donations to the scholarship fund.
The award amount will be announced on
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Full Name: |
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Home Mailing Address: |
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School Mailing Address: |
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Home Phone Number: |
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School Phone Number: |
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Provide
the following information about the college or university that you are
currently attending.
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School Name: |
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School Address: |
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Name of Advisor or College
Counselor: |
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Cumulative GPA: |
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Total Number of Credit Hours
Earned: |
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Major (if declared): |
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Current Academic Status: |
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Financial Need
Briefly
describe any changes that have occurred in the past year regarding your need
for financial assistance, such as increases in tuition, additional or
unexpected expenses, loss or gain of other financial assistance. While this scholarship is not awarded based
on need, the Scholarship Board would appreciate this information in helping to determine
scholarship amounts and distribution.
If you would prefer not to provide this information, write “I do not
wish to provide this information” and continue with the next question.
Career Plans
Please
use this space to discuss any changes that have occurred in the past year with
your educational goals or status, such as declaring a major or pursuing a
particular discipline or career.
Spiritual Life
Please
describe any changes that have occurred in the past year in your personal
relationship with Jesus Christ, any important things you have learned or other
changes related to your Spiritual walk.
Please list any churches, campus ministries or other
ministries you have been involved in over the last year and your level of
involvement.
Other
Information
Please
provide any other information you would like to provide to the Scholarship
Committee for consideration with your application. (Attach additional sheets if necessary).
Affirmation
I,
the undersigned, do promise or affirm that the information provided in this
application is true and accurate to the best of my knowledge. Should there be any changes in the
information provided in this application, I will be responsible to communicate
these changes to the Scholarship Board of
Signature: _____________ Date: