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Lorey Scholarship Application
All information requested in the application form is required for the application to be complete and to be considered by the Committee. Application and all requested documents must be submitted by April 30, 2022. For questions, please contact Alora Zrenda (
alora.zrenda@southview.org
).
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* Indicates required question
Do you attend Southview Community Church?
*
Yes, I attend in-person.
Yes, I attend online.
No, I do not attend Southview Community Church.
Other:
Student's Full Name
*
(Last Name, Middle Name, First Name)
Your answer
Date of Birth
*
(MM/DD/YYYY)
MM
/
DD
/
YYYY
Address
*
(Street, City, State, Zip)
Your answer
Phone Number
*
(XXX-XXX-XXXX)
Your answer
Email Address
*
Your answer
EDUCATION
Name of High School
*
(For High School Seniors)
Your answer
Current GPA
*
Your answer
Date of Graduation
*
(MM/YYYY)
Your answer
Name of University You're Attending:
*
Your answer
University Financial Office Mailing Address:
*
(Street, City, State, Zip)
Your answer
Make Scholarship Checks Payable To:
*
(Name of Institution)
Your answer
Field of Future Vocation
(If Decided)
Your answer
College Major
(If Decided)
Your answer
Field of Interest
(If Major is Un-decided)
Your answer
List of Colleges You've Applied To:
Your answer
List of College You've Been Accepted To:
(If Major is Un-decided)
Your answer
FAMILY
Name of Father or Legal Guardian
*
(Last Name, First Name)
Your answer
Occupation
*
Your answer
Address (if different from the student)
*
(Street, City, State, Zip)
Your answer
Name of Mother
*
(Last Name, First Name)
Your answer
Occupation
*
Your answer
Address (if different from the student)
*
(Street, City, State, Zip)
Your answer
Number of Siblings
*
Your answer
Age of Siblings
Your answer
ACTIVITIES
List Extra-Curricular Activities:
*
Your answer
List Church and Community Activities You Attend:
*
Your answer
QUESTION & ANSWER
First-Time Applicants: Provide a statement of your Christian ideals and philosophy.
Your answer
Non-Southview Attendees:
Applicants who are not members of Southview will provide two letters of recommendation as part of their application. One letter must be from an attendee of Southview, who will serve as the applicant's sponsor. Please email letters of recommendation to
alora.zrenda@southview.org
by April 30, 2022.
I have read the Eligibility and Instructions form at
www.southview.org/scholarship
.
Yes, I have read the eligibility and instructions form.
No, I have not.
Clear selection
I understand that my transcript must be submitted to
alora.zrenda@southview.org
by April 30, 2021 to be eligible to receive the 2021 Lorey Scholarship.
Yes, I understand.
No, I do not understand.
Clear selection
Checks will be mailed to the institution listed above in June and November unless other arrangements are made in the church office before May 15 of the award year.
Yes, I understand.
No, I do not understand.
Clear selection
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