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2021-2022 ANC Scholarship Application
2021-2022 ANC Scholarship Application
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* Indicates required question
Email
*
Your email
Name (Last, First): i.e. Doe, John
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Your answer
Gender
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Female
Male
Prefer not to say
Other:
Date of Birth
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MM
/
DD
/
YYYY
Cell Phone:
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Your answer
Home Phone:
Your answer
Street Address:
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Your answer
City State and Zip-code
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Your answer
Father's Name:
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Your answer
Mother's Name:
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Your answer
Which program are you applying for?
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undergraduate
graduate
Are you applying as missionary's kid (MK), pastor’s kid (PK), or seminary student (SM)? Check all that applies: i.e. MK SM: if missionary's kid and also a seminary student. Or leave blank if none applies
MK
PK
SM
Home Mission Institution (MK only):
Your answer
Mission Field City and Country (MK only):
Your answer
Have you applied for ANC SF scholarship before?
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Yes
No
Have you ever been awarded ANC SF scholarship?
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Yes
No
If you have received ANCSF scholarship before, list all academic years awarded: (e.g., 2020-2021) or (2018-2019 and 2019-2020)
Your answer
Name of School to Attend in 2021-2022:
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Your answer
School to Attend in 2021-2022 Location (City, State):
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Your answer
Major or Graduate Program, if available:
Your answer
Name of School Attended in 2020-2021. (This must match your transcript.)
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Your answer
Current Major or Diploma (2020-2021):
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Your answer
School Attended in 2020-2021 Location (City, State):
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Your answer
Total GPA un-weighted:
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Your answer
Total GPA Weighted if high school student:
Your answer
Tuition (for Academic Year 2021-2022):
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Your answer
Room & Board (for Academic Year 2021-2022):
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Your answer
Books & Supplies (for Academic Year 2021-2022):
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Your answer
Transportation Cost (for Academic Year 2021-2022):
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Your answer
Are you receiving full ride scholarship (Tuition + Room and Board) for 2021-2022?
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Yes
No
Parent/Personal Contribution (for Academic Year 2021-2022):
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Your answer
Financial Aid from school (for Academic Year 2021-2022):
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Your answer
Financial Contribution: Other sources (for Academic Year 2021-2022):
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Your answer
Family Gross Income (Tax Year 2020):
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Your answer
Name of Church in the past 3 years:
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Your answer
Church Location: City and State
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Your answer
Church Denomination:
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Your answer
Church and years attended (You may write multiple church with years attended)
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Your answer
Year Baptized:
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Your answer
Church activities/volunteers in the past. List all that applies up to 5, with years active/volunteered.
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Your answer
Volunteer at ANC?
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Your answer
Did you email documents #2 to #8? (use PDF or Jpeg file only)
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Yes
No
Partial (if missing 1 or more. You must send all documents before 8/31)
Other:
A copy of your responses will be emailed to the address you provided.
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