Application
Quiet Shouts Seminary Scholarship Fund
for Women of Lancaster Mennonite Conference
The purpose of the Quiet Shouts Seminary Scholarship Fund is to strengthen Lancaster Mennonite Conference by providing scholarships to Lancaster Conference women enrolled in accredited seminaries. Scholarship funds are to be used for tuition only.
Lancaster Mennonite Conference Office
2160 Lincoln Highway East │ Lancaster, PA 17602 │ (717) 293-5246
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Submit completed application by May 1 to Carol Oberholtzer
115 Rothsville Station Road │ Lititz, PA 17543 │ doberhol@ptd.net
(Please type or print)
Name ________________________________________________________________________________
Last First Middle
Present Address ___________________________________________(___)_________
Street Telephone
__________________________________________________________________________________
City State Zip
Permanent Address ________________________________________(____)________
Street Telephone
_________________________________________________________________________________
City State Zip
E-Mail Address (if available) ________________________________________________
Member of ________________________________________________ Congregation
Are you currently accepted as a degree candidate in a seminary Masters Degree program?
Yes What seminary will you attend? __________________________
Seminary Address _________________________________________
Semester beginning ________________________________________
No Please inform the Quiet Shouts committee immediately upon acceptance in order for your application to be completely processed.
At this point in your planning, what degree do you expect to receive? ________________
Will you be enrolled as a full-time or part-time student: _________________
If part-time, how many credit hours this fall ____, this spring, _____, this summer ____.
Briefly describe the particular program of studies which you are following:
________________________________________________________________________
________________________________________________________________________
EDUCATIONAL BACKGROUND
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School or Institution and Location
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Major/Minor
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Diplomas, Degrees, Credits Earned
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Date
Of
Degree
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High School
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College/University
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College/University
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Graduate Study
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Graduate Study
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REFERENCES: References may be pastors, professors, employers or others who have knowledge of your academic or pastoral skills.
REFERENCE #1
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POSITION OR CONNECTION
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ADDRESS
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EMAIL
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TELEPHONE
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REFERENCE #2
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POSITION OR CONNECTION
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ADDRESS
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EMAIL
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TELEPHONE
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REFERENCE #3
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POSITION OR CONNECTION
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ADDRESS
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EMAIL
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TELEPHONE
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ESSAY: Please attach an autobiographical paper including important events, your spiritual journey, and why you are pursuing seminary training (one to three pages). If you have already submitted this for a prior year, an update is fine (one to two paragraphs).
_______________________________ ______________________________________________________
DATE Original Ink Signature of Candidate
May 2013
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