Instructions: The student does not send this form to IWU. The student completes the form and submits it to his or her home church scholarship committee or youth pastor for consideration. The church must complete and mail to IWU the Church Award Form to before June 30 for the student to be eligible for IWU's Church Matching Gift award.

To the ____________________________________________ Scholarship Fund.
(Church Name)

I ,___________________________________ , am applying for an IWU Church
(Student name)

Matching Scholarship for the academic year _______________.
(school year)

I meet the following eligibility requirements:
Check:
_____1. I will be a student at Indiana Wesleyan University during the semester (s) for which I am applying, or I was a recipient of the scholarship last year and will be enrolled a minimum of 6 credit hours or more.

_____2. I understand that an interview with my Church Scholarship Committee may be necessary.

_____3. I understand that the amount of the scholarship will depend on the amount of money in the scholarship fund for my church.

_____4. I understand that neither my parents nor I may contribute to any funds, which will be used for student scholarships, while I am a recipient.

_____5. I understand that I will need to reapply to my Church Scholarship Committee by May 31 each year in order to be considered for the next academic year.

"I understand and accept the above as conditions for this scholarship."

______________________________________________ _________________
Signature of applicant                                                                     Date

"We, the undersigned parents, subscribe to this agreement."

______________________________________________ __________________
Signature of parent                                                                          Date