Scholarship Application "*" indicates required fields FCA Leadership Training Scholarship Application - Due Date June 30 **Applicants please note: all of the following information will be kept in strict confidence by the Selection CommitteeYour Name* First Last Phone*Email* Your Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country 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 Birthdate* MM slash DD slash YYYY SIN*Marital/Family Status* Single Married Divorced Separated Widowed If you have dependent children, please indicate names and ages:NameAge Add Remove FCA Home Church:* How long have you attended?* Pastor Name* First Last Pastor PhoneAre you a committed Christian?* Yes No Please comment:*How are you involved in your church?*How are you involved in your community?* Plans to work in the Lord's Harvest:*Please describe your call to ministry, your plans at this point in time and your openness or commitment to working within the Fellowship of Christian Assemblies. Bible CollegePlease indicate the last Bible College/Seminary you completed:College/SeminaryDate CompletedGPA Add RemoveEducationPlease list all other education and indicated certification received.SchoolDegreeYears Attended Add Remove Current Occupation*Please list employment and include job description and duties.EmployerJob/RoleYears Employed Add RemoveCurrent occupation duties and responsibilities:Employment Experience*Please list employment and include job description and duties.EmployerJob/RoleYears EmployedDuties Add Remove Financial Information*Please stated the value of your assets, including cash which are readily available to finance your education:Do you plan to work during the school year?* I plan to work during the school year. I plan to be a full-time student. Please comment*Will family or others financially support you during your schooling?* Yes No If yes, to what extent in dollars Name the proposed College/Seminary of choice for the coming term:* College/Seminary Address* Street Address Address Line 2 City Province AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon College/Seminary PhoneCollege/Seminary Email I have been accepted by my college/seminary of choice*Please indicate if you have received an acceptance letter at the time of this submission. Yes No Please upload a copy of your acceptance letter.Max. file size: 512 MB.FCA Church ReferencePlease indicate the name of the reference who leader in your home church and connected to the FCA. First Last Acquaintance ReferencePlease provide the name of the reference who is acquaintance that knows you well. First Last I have:* Read the description of the Scholarship application and believe that I meet the criteria for this scholarship. Given a reference form to a leader in my home church who is connected with the FCA. Given a reference form to an acquaintance who knows me well. Attached proof of acceptance at the above named college.
