Fillable NORTH AMERICAN DIVISION APPLICATION WOMENS MINISTRIES SCHOLARSHIP FUND (Loma Linda University)

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NORTH AMERICAN DIVISION APPLICATION WOMENS MINISTRIES SCHOLARSHIP FUND (Loma Linda University)

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NORTH AMERICAN DIVISION APPLICATION

WOMEN’S

MINISTRIES

SCHOLARSHIP FUND

INSTRUCTIONS TO THE APPLICANT:

Scholarship awards are based on academic achievement, financial need, and community outreach. Specific

amounts of scholarship awards vary from year to year and are dependent on the amount of funds available.

Scholarships may be obtained only through your home division (the division in which you normally

reside and where you hold citizenship). Students from outside the North American Division who have a

green card may be processed in NAD. Those who have student visas must apply for scholarship in their

home division.

1. COMPLETING YOUR APPLICATION:

 Answer each question completely.

 The completed application must be in English.

2. FINANCIAL INFORMATION SHEET:

 Fill out the Financial Information Sheet in its entirety. The more you show your financial need,

the better your chances of receiving a scholarship. Your application will not be accepted

without the financial information sheet.

3. REFERENCE FORMS:

 You must have three references from individuals who are not related to you. They should be from

someone representing your school, someone representing your church, or someone you have worked

for.

Give each of your three references a Reference Form and ask them to send it to the union Women’s

Ministries director of the union where your college of choice is located (see next page). (Be

sure to type the union director’s name and address at the bottom of page two of each Reference

Form.)

4. TRANSCRIPTS:

 You must obtain your official transcript from the most recent school you have attended to include with

your application.

 You must have a GPA of at least 3.0.

5. MAILING YOUR APPLICATION:

 After school has started, mail your completed application (including transcripts and Financial

Information Sheet) to the union Women’s Ministries director in the union in which you will be

attending school (see list on next page) before October 15.

6. SCHOLARSHIPS ARE AWARDED: Second semester of the current school year.

UNION WOMEN’S MINISTRIES DIRECTORS

For Andrews University, send application to:

Women’s Ministries

Lake Union Conference of Seventh-day Adventists

P.O. Box 287 Berrien Springs, MI 49103

269-473-8247

269-473-8209 (fax)

For Atlantic Union College, send application to:

Yvonne Knight, Director

Women’s Ministries

Atlantic Union Conference of Seventh-day Adventists

400 Main Street

P O Box 1189

South Lancaster, MA 01561

vonnieek@aol.com

For Burman University, send application to:

Brenda Rowe, Director

22 Rue Hazelwood

Dollard-Des-Ormeaux, QC H9A 2N6 Canada

brendarowe@johnabbott.qc.ca

For Washington Adventist University or Kettering College of Medical Arts,

send application to:

Tamyra Horst

720 Museum Rd.

Reading, PA 19611

610-374-8331 ext 236

thorst@paconference.org

For La Sierra University

Loma Linda University

Pacific Union College,

send application to:

Dorothy Means

4650 Sepulveda Blvd. #106

Sherman Oaks, CA 91403

818-990-9786

805-495-2644 (Conf. fax)

dot.mns@sbcglobal.net

For Oakwood University

Southern Adventist University

Florida Hospital College,

send application to:

Yolanda Smith

302 Research Drive

Norcross, GA 30092

301-992-2136

ysmith@southernunion.com

For Southwestern Adventist University, send application to:

Carmen F. Griffith

400 Rock Meadow Tr.

Mansfield, TX 76063

817-721-8906

cgriffith@swuc.org

For Union College, send application to:

Nancy Buxton

5030 Eagle Ridge Road

Lincoln, NE 68516

402-328-0042 (phone & fax)

nancybee47@yahoo.com

For Walla Walla University, send application to:

Sue Patzer

5709 N. 20

Ridgefield, WA 98642

360-857-7031

360-857-7131 (fax)

sue.patzer@nw.npuc.org

Women’s Ministries Scholarship Application

NORTH AMERICAN DIVISION SCHOLARSHIP APPLICATION

Send this co

mpleted application with your most recent transcript and the financial information sheet to the

union Women’s Ministries director before October 15. If you need extra space to answer any question,

write on a separate sheet of paper.

. __________________________ _____________________________ ___________________________ ____________________

Family Name First Name Middle Name Phone

2. Address ________________________________

_ ____________________________________________________________________________

E-m

ail ______________________________________________________________________________________________________________

3. Citiz

enship ______________________ 4a. Country of Residence ________________________________________

b. If not citizen of US, Canada, or Bermuda, what kind of visa do you have? (check one)

green card student visa other (please specify)

5. Home C

hurch (Church name, city, state, website address) ________________________________________________________

___________________________________________________________________________________________________________________________

6. Confere

nce ______________________________ 7. Date of Baptism _________________________________________________________

8. Birth da

te _____________________________ 9. Marital Status _______________________________________________________

10. Your major area of study

_______________________________________________________________________________________________

11. Name of Adventist School you are currently enrolled in __________________________________________________________

12. Are you a part-time ___ or full-time ___ student? No. Credit hrs. enrolled this year: __________

13. Classification: Freshman Sophomore Junior Senior

14. List your college education to date. Start with your most recent education, and list in order.

School and City From (month/year) To (month/year)

________________________________

_______________________________________ ____________________________________________

________________________________

_______________________________________ ____________________________________________

_______________________________________________________________________ ____________________________________________

15. Why did you choose this are

a of study and how do you plan to use it to achieve your goals?

Women’s Ministries Scholarship Application

16. How many years of full-time school work do you need to graduate? ______________________________________________

17. List your work experience. Start with your most recent job and list in order.

Type of work Name/Address of Employer From (mo/yr) To (mo/yr)

______________________________________ ______________________________________________________ __________________________________

18. Please share your conversion experience and tell why you feel it was an important or

meaningful experience in your life.

19. What or who has influenced you most in your life? Why?

20. Have you received any special honors, recognition or awards? Please list:

21. List any programs or projects in which you have been involved; please tell how you participated or

what leadership roles you had:

a) in your church

b) in school

Women’s Ministries Scholarship Application

c) in the community

22. List your special talents, interests, and hobbies (such as bilingual abilities, musical talents, public

speaking, writing, etc.):

23. I, _________________________________________________, agree to the following conditions for acceptance of a

scholarship from the North American Division Women’s Ministries Scholarship Fund to attend (school)

__________________________________________ for the school year__________.

Scholarship Agreement

1. I promise to uphold the beliefs of the Seventh-day Adventist Church through my speech

and behavior, and to work for the soon coming of Christ.

2. I will maintain a grade-point average of at least 3.0.

3. I promise to seek opportunities to serve God and humanity in my church and school.

4. I will provide a written report of my school progress and church related activities to the North

American Division Women’s Ministries Director.

5. I understand that this scholarship will not cover all my tuition needs. It is not a loan.

6. I understand that there is no guarantee of church employment upon completion of my education.

Signed ___________________________________________________________________ Date ______________________________________________

Women’s Ministries Scholarship Application

FINANCIAL INFORMATION SHEET

North American Division Women’s Ministries

Note: This form must be filled out completely.

. Name: _____________________________________

2. List annual income: *Personal income: **Family income:

*This includes: alimony received, income from summer employment and during the school year,

financial support for housing, vehicle, tuition, etc., monetary gifts from family, church, etc.

**This includes: parents or, if married, joint income from both spouses

3. List amount of financial help received from family and/or sponsors (not counting

grants or scholarships):

_____________________________

. If married, is your husband employed full-time? ___ Yes ___ No

. How many dependents do you have besides yourself? _____Relationship to you_______

. If single, list number of siblings currently enrolled in SDA /private school K-16: __________

. Average number of your work hours per week in the last six months: _________________

8. Number of hours you will be working weekly during the school year: _________________

. If not working, why not? ________________________________________________

0. Did you receive financial aid from the employer of your parent/guardian/husband?

___ Yes ___ No If Yes, how much? _____________________

1. FINANCIAL AID: List ALL financial aid received for your college or graduate studies:

Gifts/Grants and Scholarships Student Loans

Source Amount Source Amount

_______________________________________________ _______________________________________________________________

_______________________________________________ ________________________________________________________________

________________________________________________ ________________________________________________________________

2. What is the total balance of all student loans you have received during your college or graduate studies?

_______________________

3. How does this break down in current monthly payments?

$_______ per month until ___________ OR No payment until graduation ______

4. ADDITIONAL COMMENTS:

Less than 20,000

20-35,000

35-50,000

50-65,000

Less than 20,000

20-35,000

35-50,000

50-65,000

65,000 plus

Women’s Ministries Scholarship Application

NORTH AMERICAN DIVISION

WOMEN’S MINISTRIES SCHOLARSHIP PROGRAM

REFERENCE FORM 1: SCHOOL

Must be filled out in English

(First three lines to be filled out by applicant)

Name of Applicant ____________________________________________________________

Name of Union Women’s Ministries Director

__________________________________________________________________________________

Address where application should be sent ___________________________________

____________________________________________________________________________________________

Please give your opinion about the person who is applying for a scholarship. Please look at her individual

talents and give specific examples where possible. We would like to know:

1. How long have you known this person, and in what capacity?

2. How well does she apply herself to her work and/or studies?

3. What contribution has she made in school, work and/or church?

4. How well does she work with others?

Women’s Ministries Scholarship Application

5. What are her strengths, assets, and skills? Please comment on her potential leadership abilities.

6. What concerns (if any) do you have regarding her ability to succeed?

7. What would be your overall evaluation of her that causes her to stand out in your mind?

Your Name: (Please Print): _____________________________________________________________________________________________

Home Address: _______________________________________________________________________________________________________

Email: _____________________________________________________________________________

Home Phone: ___________________________________________________________________________________

Job Title: __________________________________________________________________________________________________________________

Employer: ____________________________________________________________________________________________________________

Employer’s Address: ____________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

Signature _______________________________________________________________ Date ______________________________________________

his reference form should be sent directly to the Union Women’s Ministries Director at the address

given above. DO NOT send it back to the applicant.

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Women’s Ministries Scholarship Application

NORTH AMERICAN DIVISION

WOMEN’S MINISTRIES SCHOLARSHIP PROGRAM

REFERENCE FORM 2: CHURCH

Must be filled out in English

(First three lines to be filled out by applicant)

Name of Applicant ____________________________________________________________

Name of Union Women’s Ministries Director

_____________________________________________________________________

Address where application should be sent __________________________________________

____________________________________________________________________________________