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Scholarship Application
Shield of Faith Bible College
You Can Complete this Scholarship Application Form Online at our fellowship website: www.Shieldfellowship.org scroll down to Shield of Faith Bible College - click: SCHOLARSHIP APPLICATION - APPLY NOW
Scholarship Funding Request?
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Certificate In Ministry ($750)
Diploma of Theology ($1,500)
Associates Degree Scholarship ($3,000)
50% Reduced Fee Payment Plan
25% Reduced Fee Payment Plan
Reduced Fee - Partial Payments:
First Name
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Last Name
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Address
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Address 2
City
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State/Province
Alabama
Alaska
Alberta
Arizona
Arkansas
British Columbia
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
Newfoundland
North Carolina
North Dakota
Northwest Territories
Nova Scotia
Nunavut
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Prince Edward Island
Quebec
Rhode Island
Saskatchewan
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Yukon
Zip/Postal Code
Preferred way to contact
Phone
Email
Any
Contact Phone Number:
Secondary Contact Phone Number:
Email Address
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Social Security Number:
Date of Birth:
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Age:
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Gender:
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Male
Female
Other
Marital Status:
Single/never married
Separated
Divorced
Living together/not married
Other
Please Upload Proof Of Income Such As Paycheck Stub, W-2, I-9 Independent Contractor, Copy of Benefits Card, Direct Deposit Stub
Employment Status:
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Employed (not looking for new work)
Self employed (non-job seeker)
Retired
Full time (over 35 hrs per week – non-job seeker)
Part time (under 35 hrs per week – non-job seeker)
Unemployed (no job-looking for employment)
Not in labor force (not employed, not looking for work)
Still in High School – not employed
Financial Resources - Gross annual individual income:
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Have you received cash income from any source listed below in the last 30 days:
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Yes
No
Amount Earned?
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Enter Income Sources and Amounts (Last 30 Days):
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Earnings [Job or Commission]
General Public Assistance [GA]
Unemployment Insurance [UI]
Worker’s Compensation
Private Disability Insurance
Veteran’s Disability Payments
Social Security Disability Insurance [SSDI]
Supplemental Social Security [SSI]
Social Security Retirement
Veteran’s Pension
Pension from Employment
Temporary Assistance to Needy (TANF)
Alimony or Spousal Support
Child Support
Other Cash Income
Have you received non-cash benefits from any source listed below in the last 30 days:
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Yes
No
Please List Non-Cash Benefits Received (Last 30 Days):
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Food Stamps or Benefit Card
WIC (Supplemental Nutrition for Women, Infants, and Children)
Section 8 Public Housing or Rental Assistance
Veteran’s Administration (VA) Medical Services
SCHIP (State Children’s Health Insurance Program)
Medicaid (Health Insurance)
Medicare (Health Insurance)
TANF Child Care Services
TANF Transportation Services
Other TANF Funded Services
Educational Academic Achievements:
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High School Graduate
GED Completed
College Credits Earned
Workforce Certification
Currently High School Student
Current Housing Status:
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Stable Housing Pay Rent/Non Rent Payment
Housed and at Risk of Losing Housing
At Risk of Being Literally Homeless
Literally Homeless
Terms and Conditions - Click Check Box If You Agree
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All Shield of Faith Bible College students who accept scholarship assistance are asked to release potentially confidential personal and educational information to their scholarship donors. Such confidential information includes the student’s intended major, academic standing, hometown and information related to scholarship requirements. The Family Educational Rights and Privacy Act (FERPA) requires student consent to disclose personal and educational information to any individual. Students may grant their permission to release their educational information. In order to provide your scholarship donor(s) with the required information, we ask that you agree to the terms of this Scholarship Information Release Form (SIRF) by signing and returning this form to the Admissions Office. I hereby authorize Shield of Faith Bible College to disclose the above specified information in my scholarship, (financial aid) or academic records with my scholarship donor(s). I consent that this release will remain in effect until revoked by me in writing. I also agree to write a letter of appreciation to my scholarship donor(s) annually upon request from the Office of Admissions. You also consent to receive communications from us electronically. We will communicate with you by e-mail or phone. You agree that all agreements, notices, disclosures and other communications that we provide to you electronically satisfy any legal requirement that such communications be in writing.
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