Student Application

This application is to be filled out personally by the applicant.

Applicant Personal Information

Last Name (Surname, Family Name):
First Name:
Middle Name :
Address:
Address Continued:
City:
State or Province:
Zip or Postal Code:
Country:
How long will you be at this address?
Email:
Preferred Phone Number:
Country of Citizenship:
Country of Residency (Parents'):
If you currently reside in the United States and are not a U.S. citizen, what type of visa do you have?: Student (F-1) Visitor (B-1/2) Permanent Resident (LPR) Dependant (Specify Type)
Do you attend church regularly?	Yes No
Church Name:
Church Denomination:
Name of High School:
Is your school:	public private Christian

Gender:
Female
Male

Birth date:

Marital Status:
Single
Married
Widowed
Divorced
Separated

What is your planned start date for college? Fall 2009 Spring 2010 Other
If you plan on starting college at a date other than Fall 2009 or Spring 2010, please explain:

What major or course of study will you probably follow in college?

Have you ever had to leave any educational institution for academic or disciplinary reasons? Yes No

If yes, please explain why:

If you are not attending school at the present time, describe what you are doing.

Have you made application for the Christian Missionary Scholarship previously? Yes No

If yes, when did you apply?

Do you have any siblings that receive, or have received, the Christian Missionary Scholarship?
Yes No
If yes, which siblings?

Verify Scholarship Qualifications

You must be able to answer "yes" to each of the following questions to be considered for the scholarship:

Are you presently or has your family recently been Christian missionaries? Yes No

Has your family made specific financial sacrifices to follow the call to the mission field that have impacted your ability to finance a college education? Yes No

Do you plan to attend one of the colleges listed below? Yes No

If so, which one?

Calvin College Dordt College

Hope College Kuyper College

Trinity Christian College Wheaton College

Do you authorize the college indicated above to release all of your college admission application and financial aid documentation (including tax returns) to the Christian Missionary Scholarship Foundation for consideration during the scholarship selection process? All information is held in confidence. Yes No

Essays and Autobiographical Information

Have you accepted Jesus Christ as your personal savior? Yes No
If yes, concisely describe what you believe to be the essential truths of Christianity.

Illustrate or describe how these beliefs have impacted your life and your personal journey of faith.

Briefly describe a significant and/or important experience you have had during the last year and tell how it has affected your personal growth.

What are your probable career and professional goals?

How did you select these goals and how do they relate to and support your vision of your future after college?

In addition to applying for this scholarship, in what ways do you plan to actively participate in and sacrifice for the financial support of your college education?

Verification and Authorization

By checking this box, I indicate that all the information contained in this application is factually correct and honestly presented. Additionally, I authorize the college indicated above to release all of my admission and financial aid documentation (including tax returns) to the Christian Missionary Scholarship Foundation for consideration during the scholarship selection process.