Name__________________________________________________________________________________________

Home address___________________________________________________________________________________

Minister_________________________________________________________________________________________

Parent's name____________________________________________________________________________________

Address, phone if different than student's

Address_________________________________________________________________________________________

City_______________________________ State______ Zip code______________ Phone (___)__________________

Grade you will be entering ____________ College attending from list below ___________________________________

College attending NOT FROM LIST ________________________________Subject to evaluation.

Field of study: Minister: Yes______ No___ Pulpit_______ Other_____________________________________

*Church board's recommendation as completed by an Elder or the Minister of your home church. (Form on back of this sheet)

*You MUST include a copy of the transcript of your high school grades.

You MUST include a copy of your grades with both the first and second semester applications.

Your home church MUST belong to the Jackson County Christian Men’s Fellowship.

MUST be applying to one of these Colleges: Central Christian College of the Bible, Cincinnati Christian University, Johnson Bible College, Kentucky Christian University, Lincoln Christian College, Louisville Bible College, Milligan, Ozark Christian College, St. Louis Christian College. If applying to any other college it will be subject to evaluation by the Scholarship Committee.

******************************************************************************************************************************************

*These apply only on your initial application

Thanks Rev. 01 - 2008

RECOMMENDATION FORM

Signature_________________________ Title___________________________

If you are currently receiving our scholarship you need only fill out any changes on the front of this form and send a copy of your grades.

Please read and sign below:

I realize an application form including my last semester grades must be submitted every semester that I desire a scholarship. I realize that applications for fall semester

 are due  July l and applications for spring semester are due Feb. 1. I realize I must maintain an overall 2.0 grade point average or higher to continue

 to qualify for this scholarship.