Asian Theological Seminary SCHOLARSHIP APPLICATION FORM Date:
New Applicant Renewing Applicant When were you first awarded a scholarship? ___________________ Surname: ___________________
First Name ___________________
M.I. ___________________
Address:
Occupation:__________________________________________________________________________________ Office Address:
Contact Numbers: home
office
cell phone
Email address: Birthdate:
Marital Status:
Degree Program: Year Level:
Grade Point Average:
Expected Date of Graduation: Units Currently Enrolled:
Units Earned: Credit
Non-Credit
Credit
Non-Credit
Dependents: Name
Age
Relationship
Work Preferences: Faculty Assistance
Library Assistance
Office Assistance
Event Coordination
Graphic Design
Writing / Editing
Gardening
Maintenance Work
Worship Leading
Musical Accompaniment What instruments do you play?
Telemarketing / Customer Service
Ushering
Others:
CHURCH MEMBERSHIP AND MINISTRIES Local Church/Organization: Address:
Telephone No: Denomination/Affiliation: Senior Pastor: Congregation Size: Vision Statement:
Mission Statement:
Your Present Work/Ministry: Your Duties in the Work/Ministry:
How many years have you been a Christian? How many years have you been a member of the church/organization? 2
What contribution has your local church, your pastor, or your organization made toward your studies (spiritually, emotionally, and financially)?
Ministry Experience: Duration
Ministry
What are your ministry plans after graduation?
3
APPLICANT’S FINANCIAL STATUS Monthly Income (Wages / Salary / Allowances / Gifts) Personal
Amount
Monthly Expenses
Amount
Housing
Family
Food
Church
Utilities:
Mission
Electricity
Friends
Water
Others (please specify):
Phone Transportation Others (please specify):
Total Monthly Income
Total Monthly Expenses
Estimated Academic Expenses per Semester Tuition (for one semester)
Amount
Remarks
Miscellaneous Fee Books / Photocopy School Supplies Printing / Computer Services Total Expenses per Semester
Do you own a car?
Yes
No
What provisions will you make for expenses that will not be covered by the scholarship?
I hereby attest that all figures and facts indicated above are accurate and true.
Signature over printed name 4