French Harbour SDA Church Worthy Student Fund Application

Application instructions: To apply for the French Harbour SDA Church Worthy Student Fund, please complete the following application form and submit it to the Education Secretary, Valjean Dixon, no later than February 9, 2013. REQUIREMENTS: Must maintain overall average grade of 80% Must attend a minimum of one church meeting a week including Pathfinder Club. Must plan to attend the French Harbour SDA Bilingual Institute Must not be on discipline committee Must turn in report card to church board each bimester

Personal Information Student Name: Parent Name: Address: Phone Number: Email:

Educational Information Grade/Course: Last Year's Grade Average: Previous School: Reason for wanting to attend FHSDABI:

Photo

(please attach 4x5 photo of student to this form)

French Harbour SDA Church Worthy Student Fund AGREEMENT I __________________________ , promise to:
(student) I understand that failure to meet the requirements will result in termination of financial aid. ____________________________________________ ____________________________________________ (signature of student) (date) ____________________________________________ ____________________________________________ (signature of parent or guardian) (date) Maintain overall average grade of 80% Attend a minimum of one church meeting a week including Pathfinder Club. Attend the French Harbour SDA Bilingual Institute Not be on discipline committee Turn in report card to church board each bimester