Register

Register now for the Fall 2009-2010 Scholarship

Individuals need only to register for the scholarship once per academic year, multiple submissions are not allowed. If you registered for the fall scholarship (August drawing), you are automatically re-entered for the January drawing.

If you have previously saved an incomplete registration go here to complete your registration

Privacy Policy

By submitting your information you agree to share such information with the LCMS campus ministries your area. Local LCMS ministers will receive an automated email with your information, additionally, you will be contacted 2-3 times per semester with announcements about national LSF events. Your information will not be sold or shared with any other groups.

Scholarship Application:

First Name:
Last Name:
Primary Email:
Secondary Email:
Birthday (month/day):
Gender:	Select One Female Male

Student's Home Address

Address: City: State: Zip: Phone Number:

Student's College Address

Address: City: State: Zip: Phone Number:

Home Congregation Info

Church:

Church District: AtlanticCalifornia-Nevada-HawaiiCentral IllinoisEasternEnglishFlorida-GeorgiaIndianaIowa EastIowa WestKansasMichiganMid-SouthMinnesota NorthMinnesota SouthMissouriMontanaNebraskaNew EnglandNew JerseyNorth DakotaNorth WisconsinNorthern IllinoisNorthwestOhioOklahomaPacific SouthwestRocky MountainSELCSouth DakotaSouth WisconsinSoutheasternSouthernSouthern IllinoisTexasWyoming ELCAWELSInternational What is my district? Church Address: City: State: Zip: Pastor's Name: Church Phone:

College Information

-Select State- ALABAMA ALASKA AMERICAN SAMOA ARIZONA ARKANSAS CALIFORNIA COLORADO CONNECTICUT DELAWARE DISTRICT OF COLUMBIA FEDERATED STATES OF MICRONESIA FLORIDA GEORGIA GUAM HAWAII IDAHO ILLINOIS INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MARSHALL ISLANDS MARYLAND MASSACHUSETTS MICHIGAN MINNESOTA MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA NORTHERN MARIANA ISLANDS OHIO OKLAHOMA OREGON PALAU PENNSYLVANIA PUERTO RICO RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGIN ISLANDS VIRGINIA WASHINGTON WEST VIRGINIA WISCONSIN WYOMING CANADA BRITISH COLUMBIA Now Select School Select State First Major: Year: 1st year 2nd year 3rd year 4th year 5+ years I am a commuter student:Yes No

I have read and agree to the terms of the privacy statement, and voluntarily desire to submit my information.

Scholarship Registration Form version: 2009 v1.1.0 - Last Revised 5/25/2009
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