Current College Students Scholarship Renewal

Please fill out the following form and return to the church by December 31st.

Name *

Parent's Name *

Mailing Address *

School Address

Phone *

Email *

Name of College *

Student / College ID # *

Year in College *

College GPA *

College Activities

Continuing Education / Career Plans *

Signature *

Date *

Grant applications will be reviewed and the amount of the grant available will be determined by the Board of the First Lutheran Church Trust Fund or Pleasant Valley Endowment Committee. These are payable in January.

By submitting this form, I certify that the information provided is true and accurate to the best of my knowledge. This serves as my digital signature.