2010


                    Scholarship Application Form

for Pastors

                    TOTAL Costs = $304 - $314

If you are not eligible to apply for the scholarship, please click here to go back to the regular registration form.

 

1. 個人資料Personal Information

稱謂

Contact Title

中文姓名
Chinese Name

*文姓

Last Name

(English)

*文名

First Name (English)

性別
Gender

年齡

Age

參加節目
Program

 

 

 

 

 

  *住址 Address   *城市 City
 
  * State            *郵遞區號 Zip   *國家 Country
 
*電話 Tel.                   daytime   evening
 
*電子郵箱 E-mail  

2. Name of Church

  *住址 Address   *城市 City
 
  * State            *郵遞區號 Zip   *國家 Country
 
*電話 Tel.              
 

3. Average number of church members at your church:

4. I am in need of $ in scholarship funds. (Total cost is $304-$314, see above.)

5. By checking this box I certify that the information provided above is true and correct and that I am eligible for this scholarship according to the qualifications listed at the top of this page.