Legal Name *

As it appears on your passport

First Name

Last Name

Preferred Name

If different from legal name

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Gender *

Male

Female

Birthdate *

MM

DD

YYYY

Marital Status *

Single

Married

Widowed

Divorced

Separated

Do you plan to start college next fall? *

Yes

No

Have you ever had to leave any educational institution for academic or disciplinary reasons? *

Yes

No

Have you applied for the Christian Missionary Scholarship previously? *

Yes

No

Have you accepted Jesus Christ as your personal savior? *

Yes

No

Does your family presently (or recently) serve as Christian missionaries? *

Yes

No

Do you plan to attend one of the colleges listed below? *

Yes

No

Which of these colleges will you apply to? *

Calvin University

Dordt University

Hope College

Kuyper College

Trinity Christian College

Wheaton College

VERIFICATION AND AUTHORIZATION *

By checking this box, I indicate that all the information contained in this application is factually correct and honestly presented. Additionally, I authorize the college(s) indicated above to release all of my admission and financial aid documentation (including tax returns) to the Christian Missionary Scholarship Foundation for consideration during the scholarship selection and renewal process. I understand that all information is held in confidence.