Powell United Methodist Church Scholarship Application
Please complete this form by Saturday, March 15, 2025. Direct any questions to Debbie Wenner, office@powellumc.org.
Marj and Bob Heffelfinger Scholarship Endowment Fund Application
Applicant Name
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Birthdate
*
Address
*
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AA
AB
AE
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BC
CA
CO
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DC
DE
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LA
MA
MB
MD
ME
MH
MI
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MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
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NS
NT
NU
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OH
OK
ON
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PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Email
*
This address will receive a confirmation email
Mobile
*
Parent's Names
*
University or School Attending
*
Year in School (freshman, sophomore, etc.)
*
Major or Area of Study
*
High School GPA
*
College GPA (if applicable)
Awards or Honors
Membership with PUMC
*
Please select one option.
Confirmed as Youth
Joined as new member
Transferred from another church
Describe your worship attendance pattern (weekly, monthly, etc.)
*
Primary reason for not attending worship
*
List activities and/or ministries at PUMC in which you've been involved
*
List participation in other church or campus related activities
List and describe community or service related organizations in which you've participated
Include any other information you'd like to share with the Scholarship Team to assist them with their decision
Please provide reference information for two non-family contacts, should the committee find this helpful
Name
*
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Email
*
Name
*
Address
*
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Email
*
Financial Information
Annual Cost of Tuition (may be estimated)
*
Living Arrangements
*
Please select one option.
On-campus housing ( for example, in a dormitory)
Off campus housing (for example, in an apartment)
At home with parents or other relatives
Select Option
On-campus housing ( for example, in a dormitory)
Off campus housing (for example, in an apartment)
At home with parents or other relatives
Plans to cover cost of education (check all that apply)
*
Please select all that apply.
On my own (job earnings, savings)
Help from parents
Student Loans
Grants
Scholarships
Work/Study
Estimated Yearly Family Contribution (EFC) from your FAFSA Calculation
*
Submit
Description
Please complete this form by Saturday, March 15, 2025. Direct any questions to Debbie Wenner, office@powellumc.org.
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