scholarship application

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Center for Leadership Development

North Texas Conference -- United Methodist Church

Continuing Education

SCHOLARSHIP APPLICATION

One application per person annually. Please print clearly, completing all sections of application, or you will not be eligible .

I.

Applicant Information Last Name ____________________________ First Name _________________________________ Gender ________ Address _____________________________________ City ________________________ State _____ Zip _________ Email

__________________________________________

Phone (________)____________________________

Title ___________________________________________________

Application Date ______________________

Please tell us why you are requesting this scholarship _____________________________________________________ ________________________________________________________________________________________________ ___________________________________________________________________________________________________________

II.

Continuing Education Event Information Event Name ________________________________________________________ Event Dates __________________ Registration Cost $_______

Maximum Scholarships: $100

Amount of Scholarship Requested $ _________

III. Church Information Church Name _________________________________________________ City ______________________________ Phone (_______)_______________________

Pastor/Supervisor _______________________________

To be completed by church staff: Provide a brief recommendation for this applicant to receive scholarship assistance: ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ Signature of Pastor/Supervisor _________________________________________ Date ________________________

IV. Scholarship Policy 

Must be staff or designated lead volunteer where there is no staff of a North Texas Conference UMC or affiliate.



Applicant's Pastor/Supervisor must fill out, sign, and date application in section above.



If approved, applicant must submit receipt of registration payment to then be reimbursed for scholarship amount.



As funds are available, The North Texas Conference will pay scholarship in the form of reimbursement to applicant.



Mail or Email application to:

North Texas Conference UMC Center for Leadership Development 500 Maplelawn Dr Plano, TX 75075 [email protected] 972-526-5075 972-526-5003 (fax)