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CHRISTIAN EDUCATORS FELLOWSHIP APPLICATION FOR FINANCIAL ASSISTANCE Name of Applicant______________________________________________________ Personal Data Home Address__________________________________________ Phone______________________ Office Address___________________________________________ Phone______________________ E-mail __________________________________________________ Current Position/Description of Activities __________________________________________________________________________________ __________________________________________________________________________________ III. Educational Background Degree Institution & Major Date Received _________________________________________________________________ ________________________________________________________________________________ Summary of Recent Professional Experience Date Location & Employer Title __________________________________________________________________________________ __________________________________________________________________________________ v. Professional Affiliations & Memberships __________________________________________________________________________________ __________________________________________________________________________________ VI. Continuing Education for which financial assistance is being sought Name of Project Dates __________________________________________________________________________________ __________________________________________________________________________________ VII. Location of Project (full address) __________________________________________________________________________________ VIII. List of topic subject areas and brief description of program: __________________________________________________________________________________ __________________________________________________________________________________ Has this been approved by your Staff/Parish Relations Committee? Yes_______ No ________ Has this been financially supported by the Staff/Parish Relations Committee? Yes_______ No ________ Amount _____________________ Itemize Expenses: Room and board while at school/event________________________________________ Tuition and/or registration expense (no books)_________________________________ Other?__________________________________________________________________ Other sources of funding: From your own local church $______________________________________ Other Sources (District, Council on Min., etc.) $_________________________________ Total other funding $_____________________________________ Total left for you to pay $__________________________________ Grant request from this Scholarship Committee $_______________________________ Guidelines to monetary awards are as follows: 1. Christian educators, youth ministers, music ministers, and those in evangelism enrolled in Certification Studies, or Deacons Orders originating in Certification Studies will receive up to a $400 grant per educational term, subject to the determination of the Scholarship Committee of the Iowa chapter of Christian Educators Fellowship (CEF) or up to $800 per year. 2. For United Methodist Church National Conferences, a maximum of $100 will be granted, subject to available funds. Diaconal Ministers may also apply for these funds. 3. Persons attending Iowa trainings may receive half the cost of the training event, up to $100 per calendar year. Please see the Continuing Education Fund Guidelines (November 2009 version) for all requirements. Date funds are needed___________________ Date of this application__________________ If you wish to provide supplementary information, please attach additional sheet. Please send completed form to: Ellen Johnsen First UMC 516 Kellogg Ave. Ames, IA 50010 Phone: 515-232-2750 Fax: 515-232-7772
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DO NOT USE THIS SPACE Completed application received ____________ Approved by the committee Yes______ No______ Amount granted for Scholarship ________________ Signature of BOD Representative _____________ Date of signature ________________ Signature of CEF Representative ________________ Date of signature ________________ Form updated November 2009 |