St. Paul’s Scholarship Application

SAINT PAUL’S PARISH
CHURCH SCHOLARSHIP APPLICATION
Saint Paul’s Episcopal Church
117 Main Street, Owego, NY 13827

STUDENT INFORMATION

Your name

Your email

Date of Birth

Baptized?
YesNo
Confirmed?
YesNo
Communicant?
YesNo

Home Address
Street address:

City:

State:

Zip:

Phone:

Cell

College/University

Address:

City

State

Zip

Major

Degree

Fulltime?
YesNo
Anticipated date of graduation:

Number of credit hours being taken per semester:

Student's Signature (your name):

Today's date

I certify this application is correct to the best of my knowledge.