New Scholarship Application Form

Please fill out this form and click submit.

You must be an active church member of UMC of Hudson to be eligible for this scholarship

TERM: Circle one: Summer-Fall-Spring

Date

*

PERSONAL INFORMATION:

CIRCLE ONE: I AM A TRADITIONAL / NON-TRADITIONAL STUDENT

Name

*

Gender

*

Birthdate

*

Email

*

This address will receive a confirmation email

Phone (Home)

*

Cell Phone

*

Florida Resident

*

U.S. Citizen

*

FOSTER HOME/STATE WARD

*

SINGLE PARENT HOUSEHOLD

*

EMPLOYMENT

Choose One

*

Please select one option.

Full time Part time

(Your Current Employer)

Name

*

Address

*

Phone

*

How long employed?

*

Monthly Income

*

Hours worked per week

*

FAMILY INFORMATION:

Marital Status

*

Please select one option.

Single Married Divorced

NAME(S) AND ADDRESS(ES) OF PARENTS (IF YOU ARE DEPENDENT UPON THEM FOR SUPPORT)

Father's Name

*

Address

*

Member of FUMC of Hudson?

*

Please select one option.

Yes No

Mother's Name

*

Address

*

Member of FUMC of Hudson?

*

Please select one option.

Yes No

OTHER FAMILY MEMBERS ATTENDING COLLEGE

Brothers

*

Sisters

*

Spouse

*

Other

*

Spouse Employment (Current Employer)

Name

*

Address

*

Phone

*

How long employed?

*

Monthly income

*

NAMES/AGES OF DEPENDENT CHILDREN

Name

*

Age

*

Name

*

Age

*

Name

*

Age

*

Name

*

Age

*

ARE YOU A MEMBER OF FIRST UNITED METHODIST CHURCH OF HUDSON?

*

Please select one option.

Yes No

If NO, you are not eligible for this scholarship

Do you participate in church activities?

*

Please select one option.

Yes No

If Yes, give a brief explanation

*

EDUCATIONAL BACKGROUND

Highest level of education completed.

*

Please select one option.

GED HS AA/AS BA/BS MA/MS PhD

High School

*

Graduation Date

*

Current GPA

*

Class Rank

*

Number of Honors Courses

*

Number of AP Courses

*

Number of Dual Enrollment Courses

*

Recipient of State or National Award?

*

Please select one option.

Yes No

If yes please list

*

List any other Scholarships or financial aid you will be receiving for further education:

*

College

*

Are you a graduating HS Senior

*

Please select one option.

Yes No

Name of College/Program you plan to attend:

*

Have you been accepted into the above program?

*

Please select one option.

Yes No

If yes: College Type:

*

Degree you are working toward

*

Start Date

*

Description

Please fill out this form and click submit.

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