Grant Selection Check the one you are applying for: $250 Grant$500 PACT Grant (Lutheran Colleges Only) Personal Information Name * Mailing Address * Phone Number * Email Address (account you will check after high school) * Parent's Name(s) * Name of Post-secondary School planning to attend * Scholarship Information Grade Point Average * Class Rank * of List your school extra-curricular activities: * List your church, community and non-school activities: * List all elected or appointed leadership positions held in church, school, community, or work activities: * Educational Plan In narrative form, please present your post-secondary plans for securing a formal education. This should include your planned major area of study and the degree or certificate you are planning to receive. Also include your career plans and why you selected the career. * Attach Additional Sheets (Optional) Signature & Submission Signature * Date * 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.
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