• Robert E. Straszheim Scholarship
  
• Application Form
  
•  
  
•  Additional information regarding qualifications may be obtained from the First Church office. 
  
•  
  
• Full Name:____________________________________________
  
• Phone: (Home) ______________ (School) _______________
  
• Home address: __________________________________________
  
• School address: __________________________________________
  
• Are you married ? _____  If so, name of spouse ___________ 
  
• Number of children ______
  
• If you are not married, in what ways do your parents support your desire for a college education? __________________________________________________________________
  
•  __________________________________________________________________
  
• What course of study do you plan to pursue? _____________________________
  
• What academic background do you have which you believe will help you in this field? ___________________________________________________________
  
•  _________________________________________________________________
  
• How do you plan to finance your education? _____________________________
  
•  _________________________________________________________________
  
• List the activities in either college, or your community which have been most important to you.  ______________________________________________________
  
•  _____________________________________________________________________
  
• Did you hold any offices in those activities or clubs? ___  Explain ____________
  
•  _____________________________________________________________________
  
• Which of your achievements have given you the most satisfaction, and why?
  
•  ___________________________________________________________________
  
•  ____________________________________________________________________
  
• What are your personal aims and objectives? _____________________________
  
•  _________________________________________________________________
  
• Why have you selected your chosen field of study? ________________________
  
•  ________________________________________________________________
  
• List church activities in which you have participated. ______________________
  
•  __________________________________________________________________
  
• This application form must be accompanied by a letter of reference from your church pastor. 
  
•  _____________________________________          ____/____/______
  
•                                     Signature                                                         Date