Course of Study Scholarship Application

*First Name
*Last Name
*Address 1
Address 2
*City
*State
*Zip
*Email
*Gender
Male
Female
*Name of the church where you are appointed
*District
Appalachian
Blue Ridge
Catawba Valley
Metro
Northern Piedmont
Smoky Mountain
Uwharrie
Yadkin Valley
*Conference Status
Part Time
Full Time
*Name of School
*Please select whether you applied for weekend, summer, or online course of study.
Weekend
Summer
Online
*List the course(s) and dates for which you are requesting funds.
Course Completion Agreement

By checking this box, I acknowledge that I am requesting funds from the Board of Ordained Ministry, to apply toward Course of Study fees. If I do not successfully complete the course with a grade of C, or better, then I understand that I must repay the money, or make arrangements to retake the course at my own expense, within one year.

*Course Registration Verification

Please upload the email you received verifying your course registration.  You will need to save your email in one of the acceptable formats prior to uploading.

Attach file pdf, doc(x), xls(x), jpg/gif/png, ppt - up to 25 MB

Please note that you will receive a confirmation that your application goes through.  If you don't receive a confirmation screen, please review your application to make sure that all the fields are completed.  Please be sure you've checked the Course Completion Agreement and uploaded your Course Registration Verification.  If you don't recieve a confirmation screen and you have checked that the application is complete, you will need to try the applicaiton in another browser.

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