Student Scholarship Application - St. Thomas Assembly of God

Phone Number *

Student Name *

Have you received scholarship assistance from us in the past? *

Yes

No

What event are you requesting scholarship assistance for? *

Please describe the circumstances surrounding your need for financial assistance *

Agreement *

By submitting this form, I agree that I am suffering from financial hardship or circumstances that would prevent my student(s) from attending the above event without financial assistance.

I agree