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HS Event Scholarship Application (updated)
Please understand that there is a limited number of scholarships available. In order to be considered for a scholarship, the student must either be a regular attending Hebron participant or not have a church home. Each student who is approved to receive a scholarship is asked to make a $10 deposit.
*
Grade:
-- Select --
9
10
11
12
*
Parent's Name:
*
Parent's Cell:
*
Parent's Email:
*
Employment Status of Parent(s):
Unemployed
Employed Part-Time
Employed Full-Time
Full-Time Student
Not Employed Outside the Home
*
How mant dependents are in your household?:
*
How much are you able to pay toward this event?:
*
What special/unique circumstances have resulted in your need for financial assistance?:
*
Are you a member of Hebron Church?:
-- Select --
Yes
No
If not, do you regularly attend another church? :
-- Select --
Yes
No
If yes, where?:
I promise that the above information is true and accurate to the best of my knowledge. Hebron Baptist Church has my permission to check any of the above information and use it to determine my assistance.
*
Signature of Parent:
Submit Form