Phillips Baumberger Scholarship Application

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Email *

Requirements

If you mark "no" to any of the questions in this section, you will be ineligible to receive a scholarship. Please do not continue the application if you mark "no" to any of the following questions in this section.

I have at least 2 years remaining in my undergraduate college education *

Yes; I have at least 2 years remaining

I have 1 year remaining AND have volunteered on an ADA Dialogue Team in the past

Years remaining in your undergraduate *

I believe abortion kills an innocent person and should therefore be illegal in all circumstances* *

*Only exceptions for Life of the Mother situations.

Yes

I am currently enrolled or I have applied to a qualifying university*
*

*See website for complete list of eligible universities

Yes

Name of University
*

*See website for complete list of eligible universities

I am willing to devote 50 hours per semester to ADA's Dialogue Team activities, with 50% of those hours spent on Campus Outreach
*

This averages out to 3.5 hours each week.

Yes

I am willing to submit brief updates on time to ADA staff in order to receive the scholarship funds
*

Yes

I am willing to attend a 2-week all-expense-paid training hosted by the Abortion Dialogue Academy during this summer. I am available the following weeks to complete my training.
*

Please check all weeks you're available. We plan training around finalist's schedule, but limited availability may result in not being selected as a finalist.

1st week of June

2nd week of June

3rd week of June

4th week of June

1st week of July

2nd week of July

3rd week of July

4th week of July

1st week of August

2nd week of August

Required

I am willing to maintain a 3.0 GPA
*

Yes

I understand that a completed application includes two recommendation forms.
*

The recommendation form may be found on ADA's website.

Yes

I am willing to participate in the Prayer Team program as outlined in the requirements documents
*

Yes

I understand that the renewal of this scholarship each academic semester is dependent on my continued fulfillment of the scholarship requirements
*

Yes

I will sign and adhere to ADA's Code of Conduct
*

The Code of Conduct can be found on ADA's website

Yes

How did you hear about the scholarship
*

ADA email or website

High school counselor or teacher

Scholarship website

Family or friend

Current or previous scholarship recipient

Church

Other:

Required

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