SAINT PAUL'S PARISH
CHURCH SCHOLARSHIP APPLICATION
Saint Paul's Episcopal Church
117 Main Street, Owego, NY 13827
 

Student Information

Name:_______________________________________
Date of Birth:_______________________
Baptized:________ Confirmed:_______ Communicant?________

Home Address:_______________________________________________
City:____________________________ State:__________ Zip:_________
Phone:________________________

College/University:_____________________________________________
Address:_____________________________________________________
City:______________________________ State:_______ Zip:__________

Major:_______________________________ Degree:____________
Full/Part time:__________ Anticipated date of graduation:__________
Number of credit hours being taken per semester:_______

Student's Signature:_______________________________________
Date: _____________________________

Kindly submit an application before each semester.