Directors Scholarship Application

* Required field

Personal Data

Full Name *

Address *

City *

State/Province/Region *

Country *

ZIP Code

if Applicable

Email *

Phone *

Gender

Male Female

Birth Date

Age

Are you a US citizen?

Yes No

Father's Data

Father's Name

Living?

Yes No

Occupation

Church Membership

Mother's Data

Mother's Name

Living?

Yes No

Occupation

Church Membership

Enrollment

Proposed Year of Enrollment

Semester

Fall Spring Summer

Family

Marital Status

Single Married Separated Widowed

Name of spouse

if married

Number of children

Please list the names and ages of your children.

Have you ever been divorced?

Yes No

Have other members of your immediate family attended Harding University?

Yes No

If yes, please give names and relationship to you.

Home Congregation

Name

Location

Educational Data

Please list the high school(s) and college(s) you have attended, their locations, and the degrees or diplomas earned (with the date earned).

Work History

Current Occupation

Previous Occupation

Please list high school/college activities, honors, outstanding achievements, civic clubs, community groups, etc., in which you have participated.

General Data

Have you served as a missionary outside of the USA?

Yes No

If yes, where?

Are you a veteran?

Yes No

Will you be receiving financial assistance from the VA?

Yes No

Have you been involved in cases of criminal or civil offenses other than minor traffic violations?

Yes No

Have you, for any reason, been suspended or dismissed from an academic institution?

Yes No

If you answered Yes to these last 2 questions above, please explain completely.

How did you hear about the Directors Scholarship?

I understand that the living expenses are the responsibility of the student during the period of study at Harding. These expenses may include but are not limited to housing, transportation, food, books and school fees.

My submission of this application indicates to the best of my knowledge the foregoing is correct and complete. Furthermore, if selected as a recipient of the Directors Scholarship, I will commit myself to uphold the ideals of Harding University and will personally maintain the highest possible moral, spiritual, and academic standards.

Directors Scholarship Application

Personal Data

Father's Data

Mother's Data

Enrollment

Family

Home Congregation

Educational Data

Work History

General Data

Contact Information

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