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Home
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Gathering
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Discipleship
Giving
Home
About
Gathering
Get Connected
Discipleship
Giving
Wagner Scholarship Application
Wagner Scholarship Application
If you would like to apply for the Wagner Scholarship please fill out the form below.
Date
*
MM
DD
YYYY
Application for School Year
*
Applicant Name
*
First Name
Last Name
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Your Email Address
*
Your Phone
(###)
###
####
Are you asking for help because of financial burden?
*
YES
NO
Are you currently employed if yes where?
*
YES
NO
Of Yes, where?
School Information
Current School
*
Grade
*
College Choice
*
Have you been accepted?
*
YES
NO
What will you be majoring in?
*
Why?
*
What is the cost per quarter?
*
General Information
Where did you work for your service hours?
*
Have you ever done Mission work?
*
YES
NO
If so, where?
Would you be willing to do Mission work to receive scholarship money?
*
YES
NO
Do You Currently attend church if yes where?
*
YES
NO
If yes, where?
Please Provide an Overview of Your Walk with Christ
*
Signature
*
First Name
Last Name
Guardian
*
First Name
Last Name
Thank you!
