Midwest Faculty Conference Scholarship Request

1. Personal Information

20%

In past years, through the grace of God, funding has been provided for scholarships to this conference. Although the funds are limited and changes year by year, our interest is to help you attend this significant event. If receiving a scholarship will make a difference in your ability to attend this conference, please let us know your situation and probable financial need by completing this form.

1. Please tell us about yourself:

Please tell us about yourself: Name:
Email Address:
Phone Number:

2. What is the name of your college/university?

What is the name of your college/university?

3. What is your relationship to the campus?

What is your relationship to the campus?

4. What is your academic discipline?

What is your academic discipline?

5. Will other family members attend the InterVarsity Faculty Ministry conference with you?

Will other family members attend the InterVarsity Faculty Ministry conference with you? Yes