United Methodist Leadership Scholars Application

An Initiative of the Southeastern Jurisdiction The United Methodist Church

The United Methodist Leadership Scholars program is a very competitive MERIT-BASED award for students who:
-Are members of the United Methodist Church who live in the Southeast Jurisdiction.
-Are entering a UM-related institution in the Southeast Jurisdiction for the 2015-2016 School year as a FRESHMAN.
-Provide an excellent academic history with at least a 3.5 GPA
-Are deeply involved with leadership roles in the church and community.

An award recipient is eligible to receive the award annually for up to 4 years, providing academic excellence is maintained and leadership roles are continued. You will be required to reapply each year with the following criteria.  

DEADLINE: January 16, 2015

Only complete applications will be considered, which include complete online application accompanied by mailed documents:
  1. Online Application
  2. Official copy of high school transcript (College transcript for sequential years)
  3. Copy of ACT/SAT score (Not required for sequential years)
  4. Resume detailing your leadership roles in your church, school, and community with contact names and numbers for verification
  5. Written reference from clergy addressing your promise for leadership in the United Methodist Church
  6. Written references from a teacher (professor for sequential years) and community volunteer addressing your academic achievement and leadership abilities
  7. Essay: How do you envision using your leadership skills in the future for the United Methodist Church? (For sequential years, what knowledge have you gained that will assist your leadership skills in the future for the United Methodist Church?)
  8. Pastor Signature Form (included in email confirmation after online application is complete)
  *** Please fill out all of the information below.

United Methodist Leadership Scholars Application

An Initiative of the Southeastern Jurisdiction The United Methodist Church

*** Please fill out all of the information below.
Online Application
Student First Name:
Student Middle Name:
Student Last Name:
Social Security Number:
Birth Date (mm/dd/yyyy):
Age:
Male   Female  
Street Address / PO Box:
City:
State:
Zip Code:
Email:
Phone:
Ethnic Group: Caucasian   Asian  
Black   Hispanic  
Native American   Pacific Islander
  Other
Name of school where you plan to be enrolled in the fall:
School Name:
Academic classification in the coming fall semester:
Undergraduate: Freshman   Sophomore  
Junior   Senior  
Seminary/Graduate/Professional: First   Second  
Third   Other  
Will you be enrolled full-time in the fall? Yes   No  
GPA (most recent transcript):
Degree working toward (i.e. BA, MA, MDiv):
Major
For what career are you preparing?
If you are enrolled in Seminary, do you plan to serve as an Elder   Deacon  
What is your conference status? NA  
Certified Candidate  
Local Pastor License  
Associate Member  
Probationary Member  
Full Member  
Are you a full and active member of The United Methodist Church (for at least one year)? Yes   No  
Name of church where you are currently an active member:
Church Street Address / PO Box:
Church City:
Church State:
Church Zip Code:
Church Phone #:
Annual Conference:
Pastor's First Name:
Pastor's Last Name:
Pastor Email:
Pastor Phone #:
Institutions of Higher Education Attended; list current school first:
Institution:
Dates Attended:
Degree Earned:
Major:
Grade Point Average:
Institution:
Dates Attended:
Degree Earned:
Major:
Grade Point Average:
Institution:
Dates Attended:
Degree Earned:
Major:
Grade Point Average:
List any academic honors, awards, etc. you have received:
What factors, if any, should be taken into consideration in evaluating your academic record?
Will you be working during the college year? Yes   No  
State briefly any paid employment you have had or now have:
Title or Position:
Employed by:
Type of Work:
Dates:
Title or Position:
Employed by:
Type of Work:
Dates:
Title or Position:
Employed by:
Type of Work:
Dates:
Father's First Name:
Father's Last Name:
Occupation:
Father's Street Address / PO Box:
Father's City:
Father's State:
Father's Zip Code:
Mother's First Name:
Mother's Last Name:
Occupation:
Mother's Street Address / PO Box:
Mother's City:
Mother's State:
Mother's Zip Code:
If applicant is under age 24, check the range of your parents' gross annual income. $0-$24,999  
$25,000-$49,999  
$50,000-$99,999  
$100,000-$149,999  
$150,000+  
Please indicate whose income is reflected in this amount :
If applicant is under age 24, indicate how many persons are dependent on your parents' income and their ages:
FINANCIAL STATEMENT
This statement must be completed before your scholarship request can be reviewed.
FINANCIAL AID IS REQUESTED FOR ACADEMIC YEAR:
-

INCOME AVAILABLE to meet expenses for the academic year:
Personal funds (cash, savings, etc.): $
Total summer earnings: $
Summer earnings available for school: $
Expected earnings for academic year: $
Parental support: $
Spouse's net income, if applicable: $
Assistantships: $
Scholarships (itemize)  
$
$
$
$
Grants (itemize)  
$
$
$
Loans (itemize)  
$
$
Other income (itemize)  
$
$
$
$
$
TOTAL INCOME: $

ESTIMATED EXPENSES for the academic year:
Tuition and fees: $
Books: $
Housing: $
Food: $
Clothing and Laundry: $
Medical Care: $
Transportation (itemize)  
$
$
$
Other expenses (itemize)  
$
$
$
$
$
$
$
$
TOTAL EXPENSES: $
If you are a self-supporting student, list number of dependents (explain):
Have you applied for other financial aid for the academic year not listed above?
If yes, name sources:
If approved, list amount you will receive (or have received) from each source: $
List educational loans unpaid for prior years: Source: Amount:
$
$
$
$


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