Award Application Form
Educational Grant Assistance Fund

Lexington Presbyterian Church
Main and Nelson Street
Lexington, Virginia 24450

A. Identification Information

Title	Please select Mr. Mrs. Ms.
First name:
Middle initial:
Last name:
Street address:
City:
State:
Zip:
Telephone:
E-mail:

B. Description of Proposed Study

1. Type of educational program:
College
Vocational
Graduate/Professional
Other

Full time
Part time

2. Name of institution offering the program:

3. Have you been accepted into the program? Yes No

4. Anticipated starting date:

5. Concisely describe how this college or vocational training program will assist you in realizing your personal career goals.

C. Personal Information

1. For first time applicants, list your activities (including regular church attendance) in the Lexington Presbyterian Church as well as any examples of your community or personal service to others.

2. If you are reapplying for a scholarship, briefly describe the progress that you have made toward obtaining your degree. Also list any continued activities in this church (or others) as well as any examples of your community of personal service to others since you have received your last award from this committee.

3. If appropriate, please explain in greater detail any circumstances bearing on your application which you believe should be considered.

D. Recognition

Recognition of the award winners will be made in a worship service and in the church's newsletter. If you are an award winner, may the committee list your name as an award winner?
Yes No

These grants are gifts. The opportunity to learn and the application of that learning in service to others acknowledges stewardship of God's good gifts.