Renaissance Scholarship Fund for Women offered by the Church of the Lord Jesus Christ of the Apostolic Faith,with headquarters located at 701 S. 22nd Street, Philadelphia, PA 19146.

RENAISSANCE SCHOLARSHIP FUND FOR WOMEN

APPLICATION

INSTRUCTIONS

The National Women's Department of the Church of the Lord Jesus Christ of the Apostolic Faith

is pleased to offer “The Renaissance Scholarship Fund For Women” to woman 40 years of ageand above who have the drive, courage, and acumen to follow their dreams of higher education. This scholarship is offered in keeping with the Women's Department mission statement to"…develop confident, educated and mature women to have a voice in the administrative businessof the church organization…" A $10,000 scholarship award will be issued each year to one ormore qualified applicants who have applied and been accepted to a college, university or otherinstitution of higher learning. Funds for the winner(s) will be released each year (or semester),after proof of re-enrollment is submitted. Checks will be made payable to the school, not theindividual. Thank you for pursuing your dreams!

Explicit compliance with the stipulations outlined below is required:

1. Submission of a completed application form.

2. Applicant must be at least 40 years of age at time of application deadlines.

3. Applicant must complete (2) two page typed essays responding to the following:a.) “Why do you feel that you should be a recipient of this award? What makes you a Renaissance Woman?”b.) “How will you directly give back to this church organization?”

4. Applicant must submit proof of enrollment/acceptance to an accredited school/ college/university. Preference will be given to candidates that display characteristics of leadership in civic activities, community service, church activities, and volunteerism.

5. Recipient must agree to sign the “Declaration of Service” upon acceptance of the Renaissance Scholarship Fund for Woman, should she be a chosen recipient. Applicant must be active in the church organization and of good report in the community, and not known to be in opposition of the current administration. Applicant must submit two supporting letters of recommendation; at least one letter should come from a local or district person in leadership position within our organization. Letters must be signed and dated in accord with the submission deadline.

To be considered, applicant must forward essay and all supporting materials in a complete package postmarked or received no later than the scholarship deadline to:

Attn: Renaissance Scholarship Fund for Women Church of the Lord Jesus Christ of the Apostolic Faith 701 S 22nd Street Philadelphia, PA 19146

Renaissance Scholarship Fund for Women offered by the Church of the Lord Jesus Christ of the Apostolic Faith,with headquarters located at 701 S. 22nd Street, Philadelphia, PA 19146.

RENAISSANCE SCHOLARSHIP FUND FOR WOMEN

APPLICATION

Contact Information:

1. Applicant’s Full Name: ____________________________ ___________________________ _____Last First MI

2. Home Address: ____________________________________________________________________________Street Address City, State Zip

3. Preferred Phone Number: 4. Alt. Phone Number:Area Code Phone Area Code Phone

5. E-mail Address: _______________________________________________________________________

Personal Information:

6. Marital Status: �Single �Married �Separated �Widowed �Divorced

7. Number of Children: ______________________________________________________________________Number of Children Individual Ages of Each Child (Ex: X, X, XX, XX, XX)

8. Date of Birth: _________________________ 9. Age: ________________Month/Day/Year

Employment History:

Please Attach Resume if applicable.

10. Current Status: �Employed Full-time �Employed Part-time �Unemployed �Retired �Self Employed

11. If you do not have full time employment (40+ hours), please attach short answer on how long you have beenunemployed/retired and how you currently spend your time.

School Admission Information:12. School Applicant will be attending: ___________________________________________________________

Name of Institution City, State

13. Acceptance Letter Enclosed � 14. Annual Tuition Amount $________________________________

15. Choice of Major: _________________________________________________________________________First Choice of Major Second Choice of Major

Application Verification:

16. � I acknowledge that I have reviewed the application instructions. I certify that all information submitted in this

application process—including the personal essay(s), any supplements and any other supporting materials—is my own work, factually true, and honestly presented. I understand that the submission of false information is grounds for withdrawal of any award offered.

___________________________________________________ ____________________________________Applicant Signature Date

Renaissance Scholarship Fund for Women offered by the Church of the Lord Jesus Christ of the Apostolic Faith,with headquarters located at 701 S. 22nd Street, Philadelphia, PA 19146.

RENAISSANCE SCHOLARSHIP FUND FOR WOMEN

APPLICATION

Essay #1: Why do you feel that you should be a recipient of this award? What makes you a Renaissance Woman?

Renaissance Scholarship Fund for Women offered by the Church of the Lord Jesus Christ of the Apostolic Faith,with headquarters located at 701 S. 22nd Street, Philadelphia, PA 19146.

RENAISSANCE SCHOLARSHIP FUND FOR WOMEN

APPLICATION

Essay #2: How will you directly give back to this church organization?

Renaissance Scholarship Fund for Women offered by the Church of the Lord Jesus Christ of the Apostolic Faith,with headquarters located at 701 S. 22nd Street, Philadelphia, PA 19146.

RENAISSANCE SCHOLARSHIP FUND FOR WOMEN

APPLICATION

Scholarship Award“Declaration of Service Agreement”

A selected Renaissance Scholarship Award Recipient (hereafter Recipient)acknowledges, understands, accepts and agrees that in consideration ofreceiving the Renaissance Scholarship, there is an expectation by theChurch that she will perform measurable and verifiable church relatedApproved Duties1 for 720 Service Hours2 for the Church in a periodbeginning from receipt of the award and lasting to not more than two yearsafter receiving the award.

_______________________________ ______________________________Applicant/Recipient Date Local Women’s Supervisor Date

_________________________________________________________

National Women’s Department Representative Date

_________________1 Approved Duties: These are acts/tasks that are provided to the Church and must be

approved as qualifying by the local, district or national women’s supervisor before the act/task isperformed. Such duties may include, but are not limited to, the following: assisting inadministrative report creation, planning/hosting local, district or national functions, etc.

2 Service Hours: These hours occur in the performance of Approved Duties and must

be verified by the local, district or national women’s supervisor and reported to the NationalWomen’s Department scholarship committee for proper tracking and monitoring. The reportingof service hours must include the: (1) date, (2) time, and (3) type of service rendered. This is the

equivalent of 90 days @ 8 hours per day.