Scholarship Request

SCHOLARSHIP REQUEST
2018 - 2019 School Year
Deadline to apply for a scholarship is May 31st

FAMILY INFORMATION

* Indicates required field

Father's Name *

First

Last

Father's Email *

Father's Phone Number *

Mother's Name *

First

Last

Mother's Email *

Mother's Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Family's Church *

Pastor *

Pastor's Email *

Pastor's Phone Number *

STUDENT INFORMATION

What students have you enrolled and in what grades? *

Have these students received scholarships at previous schools? Please explain. *

SCHOLARSHIP REQUEST

What amount of scholarship are you requesting? *

Why are you requesting this amount? *

OTHER FINANCIAL AID

Because there is a limited amount of scholarship funds to be given each year, it is best for those on scholarship to have already exhausted all possible means in their other communities: families, local church, place of employment, etc.Please indicate below other steps you've taken to seek financial assistance for your child's education.

Have you sought financial assistance from your local church's benevolent fund or another fund used for education? *

Have you talked with other individuals in your community or family about assisting with your child's educational costs? *

SIGNATURE

By writing my full name in the box below and submitting this form, I certify this application is correct.
Please Note: This document is a request to the Sequitur Board for financial assistance and not an application which ensures it will be given.

full name *

date *