Intercept Women's Ministry Scholarship

**See Mrs. Butts or Mrs. Sims for a paper copy of this application.**

Here is what it contains:

Intercept Women’s Ministry Scholarship Application 2012-13


Submit form and requirements to school counselor on or before April 10, 2013



Personal:

Name of Applicant: ___________________________________
DOB _________________

Address ___________________________________________________________

Home Phone ______________________
Cell ________________________

e-mail address ________________________________________________________

Please list two contacts in case you are unable to be reached for important scholarship information after graduation.

_______________________________________________

_______________________________________________




Education:

College or University you plan to attend: __________________________________________

What will be your major: __________________________________________




Requirements:

1. Please provide three letters of reference. (No close relatives)

2. Please provide a mission statement for your life.

3. Please list three goals that you plan to achieve by the age of 30.



These last three items should by TYPED. Always remember to have someone proofread any essay you turn in to a school or scholarship foundation!