UNITED CHURCH OF CANISTOTA SCHOLARSHIP
Please provide the following information:
Name:
Address:
City, State & ZIP:
Home Phone:
Cell Phone:
Email Address:
Name of Parent(s):
Are you a current member of the United Church of Canistota? YES or NO
Are you a current member of the any church? YES or NO
If yes, please list the name of the church:
Were you baptized at the United Church of Canistota? YES or NO
Were you baptized at any church? YES or NO
If yes, please list the name of the church:
Were you confirmed at the United Church of Canistota? YES or NO
Were you confirmed at any church? YES or NO
If yes, please list the name of the church:
Will you be a full-time student in the 2023-2024 school year? YES or NO
Name of the College/University/Technical Institute that you are/will be attending:
(If high school senior, please provide a copy of acceptance letter from College/University/Technical Institute)
Degree/major:
Additional Requirements:
On a separate sheet of paper, please answer the question below, there is no limit/or maximum number of words required:
How are you currently pursuing your Christian faith?
It is strongly encouraged to send your completed application, and additional documents via email to:unitedchurchfinance@outlook.com
*Please reference in the subject line: UCC Scholarship – your name
You may also drop off or mail your completed application packet to:
United Church of Canistota
Attn: Finance Committee
PO Box 188
Canistota, SD 57012
Please provide the following information:
Name:
Address:
City, State & ZIP:
Home Phone:
Cell Phone:
Email Address:
Name of Parent(s):
Are you a current member of the United Church of Canistota? YES or NO
Are you a current member of the any church? YES or NO
If yes, please list the name of the church:
Were you baptized at the United Church of Canistota? YES or NO
Were you baptized at any church? YES or NO
If yes, please list the name of the church:
Were you confirmed at the United Church of Canistota? YES or NO
Were you confirmed at any church? YES or NO
If yes, please list the name of the church:
Will you be a full-time student in the 2023-2024 school year? YES or NO
Name of the College/University/Technical Institute that you are/will be attending:
(If high school senior, please provide a copy of acceptance letter from College/University/Technical Institute)
Degree/major:
Additional Requirements:
On a separate sheet of paper, please answer the question below, there is no limit/or maximum number of words required:
How are you currently pursuing your Christian faith?
It is strongly encouraged to send your completed application, and additional documents via email to:unitedchurchfinance@outlook.com
*Please reference in the subject line: UCC Scholarship – your name
You may also drop off or mail your completed application packet to:
United Church of Canistota
Attn: Finance Committee
PO Box 188
Canistota, SD 57012