Youth/Child Scholarship Application

for Presbytery-Approved Enrichment Events for Members of the Kiskiminetas Presbytery

Click Here to view the Presbytery Scholarship Guidelines
Click Here for the Youth/Child Application to Print or Import into Word Processor

Please note: Youth Triennium expenses are not eligible for scholarship since the Presbytery subsidizes the cost of transportation to the Triennium.
Please provide family and church information:
Youth/Child Name
Age
Birthdate
Grade in School ('06-'07) 
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
FAX
E-mail  
Church
Pastor/Moderator Name:
Tell us about the Enrichment Event you'd like to attend:
Name of the Event
Name of the Sponsoring Organization
Date of the Event
When is the Money Needed?
To Whom Should the Check be Made Out?
Give Full Address Where 
the Check Should be Sent
Have you received a scholarship before? Yes    No
If so, when?
Endorsement Information:
Name of Person Filling Out this Form  
Date You are Filling it Out
We will be contacting your pastor/clerk of Session to endorse this application.
Have you told him/her you are applying?		 Yes  I've talked to my pastor/clerk of session
  No I haven't talked to my pastor/clerk of session
Is Your Church Willing to Contribute Scholarship funds as well? Yes they are also contributing
 No they are not contributing
 I'm not sure

 

Thank you for your submission! You will receive an email confirmation within 3 days.

This information will be submitted to:
Rev. Erin S. Cox-Holmes
Associate General Presbyter
for review by the Transformational Ministries Scholarship Group
Revised: January 17, 2007

Back to the Scholarship Policy Page