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Church Award Form

Required fields are marked with an *

Student Information

Scholarships will be provided for the following students:
Student Name (First, MI, Last) Semester 1* Semester 2**
Total: 0.00 0.00
* Church money is due by August 1
** Church money is due by December 1

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Church Information

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A confirmation will be sent to the church e-mail address upon submission of this form. If the confirmation e-mail is not received, please contact the Church Relations Office at churchrel@indwes.edu or 765-677-2113.