Apply for a Scholarship Personal InformationName(Required) First Last Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone(Required)Email(Required) Date(Required) MM slash DD slash YYYY Marital Status(Required) Single Married Married with Children Number of Children(Required) Choice of Study Track(Required) Christian Ministries General Studies Teacher Apprenticing Scholarship EssayUpload Essay(Required)Max. file size: 100 MB.Attach a 300-500-word essay answering the following questions: 1. What ministry or teaching experiences have you had? 2. What are your vocational goals for the next 20-50 years?Income InformationUpload 1040(Required)Max. file size: 100 MB.Attach a copy of your 2023 IRS form 1040. If you are applying before the end of 2023, you may submit a copy of your 2022 IRS form to begin the process; we will need your 2023 IRS 1040 before scholarship amounts are finalized. To be eligible for a scholarship, your annual personal income must not exceed $70,000 (single) or $85,000 (married) plus $5,000 for each dependent. If the attached 1040 is not a good representation of your last 3 years’ income, please explain:Asset VerificationTotal liquid assets cannot be more than $33,000 plus $5,500 (single) for each year of age over 20. Total Liquid Assets (funds in checking and savings accounts)Liquid assets are any assets that can be readily converted to cash. This includes cash in certificates even through there is a penalty for early withdrawal of the funds but does not include money in a retirement fund (IRA or 401K…) or non-liquid assets such as a home, car or business property.Net Income over $10,000 expected per year while a studentNet Income over $10,000. Examples: If you anticipate having a summer job and earning $5000 between semesters you would enter ZERO on this line, If you have a business operating in your absence that you expect to net $30,000 per year while you are a student, you would enter $20,000 on this line. Total Value of Liquid Assets:Financial Need ScholarshipBy completing this application, you will be considered for the Financial Need Scholarship. In addition, you may also qualify for additional scholarships. Please complete the following section to help us evaluate your eligibility.Situation Scholarship: (Complete statements below)Place of Volunteering and Time Spent (if applicable) Long Term Missionary or Minister at: (if applicable) Regional ScholarshipsCheck any region that applies to you(Required) Holmes County Kansas Lancaster Area Northern Indiana South-Eastern States South-Central States None Apply Themed ScholarshipsCheck any for which you wish to be considered Weaverland Conference Scholarship Anja Miller Memorial Scholarship (additional essay required) International Scholarship An addition 300-500-word essay titled “Your vision for music in the life of the church” is required for the Anja Miller Memorial ScholarshipMax. file size: 100 MB.An addition 300-500-word essay titled “Your vision for music in the life of the church” is required. Certification Signature AgreeI certify that all of the above information is true and correct and the Federal Form 1040 enclosed provides a true and accurate verification of my annual personal income. I understand that the deliberate misrepresentation of the information may result in the scholarship being denied or terminated. I understand that the scholarship payments will continue if I stay current on the remaining tuition balance. Any unused portion of the scholarship award will be retained by FB for other scholarships. All decisions are final. All financial information is held confidentially.Signature of Student First Last Date MM slash DD slash YYYY
