Presbyterian Mission Agency Racial Equity & Women's Intercultural Ministry Events Scholarship Application

Unique ID

Please submit the scholarship application 8—10 weeks prior to the specific event.

Please indicate the office to which you are applying:*

Date

Is this your first time requesting a PC(USA) Scholarship?

Yes
No

If not, please list date(s) year(s) a scholarship was received.

Scholarship awarded amount

This scholarship will be matched with funds from:

Church
Presbytery
Synod
Personal Funds
Other Organization

Personal Information

Name*

First Middle Last

Address*

Street Address City State ZIP Code

Home Phone

Work Phone

Cell Phone

Email

Demographics

Race/Ethnicity

Gender

Home Church

Presbytery

Synod

Occupation

Are you an:

Ordained PC(USA) Minister
Ordained Ruling Elder
Young Adult
Youth
Commissioned Ruling Elder
Deacon
Leader

Event Information

This scholarship is being requested for the following event:*

Date of the event:*

What do you hope to learn/gain from this event?

Cost of event:

Registration

Housing and food

Travel

Total*

This will calculate the total cost of the event automatically.

Personal statement

Why do you want to attend this event?

Answer the above question in a separate document and attach the file.

Accepted file types: doc, docx, xls, pdf, xlsx, txt, Max. file size: 15 MB.

Why are you seeking this scholarship?

Accepted file types: doc, docx, xls, xlsx, pdf, txt, Max. file size: 15 MB.

Answer the above question in a separate document and attach the file.

How much is your church providing toward this event?

Accepted file types: doc, docx, xls, xlsx, txt, pdf, Max. file size: 15 MB.

Answer the above question in a separate document and attach the file.

How much is your presbytery providing?

Accepted file types: doc, docx, xls, xlsx, txtandpdf, Max. file size: 15 MB.

Answer the above question as a separate document and attach the file.

Other scholarship amounts?

Accepted file types: doc, docx, xls, xlsx, txt, pdf, Max. file size: 15 MB.

Answer the above question as a separate document and attach the file.

The Presbyterian Mission Agency cannot assure future funding beyond this scholarship, due to decline in funds available.

If the scholarship is granted, you will be required to submit a written report in detail of what you learned and what you experienced by attending the event. By submitting this form, you agree to this requirement. If you fail to meet this requirement, you will be ineligible for future funding.

By submitting this form I agree that all information provided is correct.

Name

First Last

Date