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Please return this form to the District Office by January 15th (Spring) and/or August 15th (Fall).
Late submissions will not qualify for scholarship consideration.
Raymond Hicks Scholarship Fund
1261 Parker Rd SE, Conyers GA 30094 Fax 770-922-9331 - E-Mail: office@southcoastal.org

LOCAL CHURCH PASTOR SECTION:
Student Name:
 *
Is there scholarship money available in your church budget to help this student?
 *
How much?
 *
Please sign below that you verify that this student is doing the ministries listed above and verify the student has a financial need regarding scholarship assistance in the ministerial preparation program.
Pastor/Board/Pac Team Signature
Date
Security code:
 *
Do not enter anything in this field:

* indicates a required field
 
Reaching Alabama, Georgia, and Mississippi with the Love of God.

South Coastal District of The Wesleyan Church1261 Parker Road SE  |  Conyers, GA  30094  |  Phone: 770.922.7514   Fax:  770.922.9331
Email: office@southcoastal.org  |  MAPQUEST THE DISTRICT OFFICE HERE.
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