HOLY TRINITY CENTENNIAL SCHOLARSHIP TRUST Application Form

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1 Application Form The Holy Trinity Centennial Scholarship Trust is a charity organized for the purpose of providing scholarship aid to persons actively involved in or committed to future participation in the ministry, lay or ordained, of the Episcopal Church or within the Anglican Communion, so that such persons may initiate, develop, or complete a program of study and preparation leading to such a ministry. Applicants seeking funding to pursue an academic course of study must submit transcripts of previous coursework with this application, and such recipients will be required to submit official transcripts during each year of scholarship support. All recipients are required to submit status reports during the course of their study and a final report at the conclusion of the scholarship period. Any recipient who elects not to pursue a proposed course of study leading to the ministry outlined in the application will be required to reimburse the Trust for scholarship funds not expended as proposed. Please print or type. A. Name Date of Birth Current Address Address Phone Number Business Phone Diocese Name Parish Name Parish Address Rector Phone Number How did you learn about this scholarship? Financial: Attach a copy of most recent IRS Form 1040 (please do not include schedules or attachments). Please also indicate any additional income anticipated in the coming year. Educational History: High School Attended Years Diploma College Years Major Degree Graduate School Years Major Degree If you are pursuing a seminary degree, are you currently a Postulant?

2 B. Location of (proposed) course of study Course of study is a: Degree Program Certification Workshop Seminar Other Proposed Scholarship period Total cost to applicant Total funds requested In the space below, briefly describe the course of study or specific program for which you are applying for funding and outline specific expenses to be defrayed by scholarship. (You may attach additional literature associated with the program.)

3 Narrative On this page please type (for legibility) a narrative describing your objective in undertaking this course of study, how you came to be interested in it, and how you intend to apply what you have learned to a ministry within the Episcopal Church/Anglican Communion. Feel free to use more pages. At the end of your narrative, please sign and date. Your signature indicates that to the best of your ability, you have accurately represented the information provided on this application, that you are in compliance with the eligibility requirements outlined in the guidelines to the scholarship, and that you agree to the reporting requirements for Holy Trinity Scholars. Applicant Signature Date

4 Please indicate below the name, address and phone numbers of three individuals who will write supporting your application for a scholarship from the Holy Trinity Centennial Scholarship Trust. At least one must be from an ordained member of the Episcopal clergy. Distribute one of the attached recommendation forms to each of your references for them to mail directly to: 1. Name Address Phone Number Business Phone 2. Name Address Phone Number Business Phone 3. Name Address Phone Number Business Phone

5 The Holy Trinity Centennial Scholarship Trust is organized for the purpose of providing scholarship aid to persons actively involved in or committed to future participation in the ministry - lay or ordained - of the Episcopal Church, or within the larger Anglican Communion, so that such persons may initiate, develop, or complete a program of study and preparation leading to such a ministry. Please use the space provided below to comment from your experiences on the applicant s ability to complete the proposed course of study and apply that education in active ministry. You may also choose to refer to past or current activities that indicate the applicant s experience or commitment to such a ministry. Please complete this form and mail directly to: Applicant Name Your Name Your Signature Date

6 The Holy Trinity Centennial Scholarship Trust is organized for the purpose of providing scholarship aid to persons actively involved in or committed to future participation in the ministry - lay or ordained - of the Episcopal Church, or within the larger Anglican Communion, so that such persons may initiate, develop, or complete a program of study and preparation leading to such a ministry. Please use the space provided below to comment from your experiences on the applicant s ability to complete the proposed course of study and apply that education in active ministry. You may also choose to refer to past or current activities that indicate the applicant s experience or commitment to such a ministry. Please complete this form and mail directly to: Applicant Name Your Name Your Signature Date

7 The Holy Trinity Centennial Scholarship Trust is organized for the purpose of providing scholarship aid to persons actively involved in or committed to future participation in the ministry - lay or ordained - of the Episcopal Church, or within the larger Anglican Communion, so that such persons may initiate, develop, or complete a program of study and preparation leading to such a ministry. Please use the space provided below to comment from your experiences on the applicant s ability to complete the proposed course of study and apply that education in active ministry. You may also choose to refer to past or current activities that indicate the applicant s experience or commitment to such a ministry. Please complete this form and mail directly to: Applicant Name Your Name Your Signature Date

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