How it works: Triple. Your Dollars for Scholars

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United Methodist DOLLARS FOR SCHOLARS Scholarship Program Eligibility: -Must be an active, full member of the United Methodist Church for at least one year prior to applying. -Must be enrolled or planning to enroll in a full-time degree program (graduate or undergraduate) at a United Methodistrelated college or seminary in the United States -Doctoral (Ph.D.) candidates are not eligible Educating TOMORROW S TOMORROW S LEADERS UMC STUDENT SCHOLARSHIPS How it works: Each year through the United Methodist Dollars for Scholars (UMDFS) program, the United Methodist Higher Education Foundation (UMHEF) provides $1,000 matching scholarships to United Methodist students who have received a $1,000 scholarship from their local United Methodist church to help them attend a United Methodist-related college, university, or seminary. Awards are made for the fall term of each school year. Additional matching funds may be available to eligible applicants through the Triple Your Dollars and/or the Quadruple Your Dollars components of the UMDFS program. The number of available matching scholarships is determined annually. Available matching funds include 25 scholarships designated for Hispanic-, Asian-, and Native-American [HANA] students funded by the United Methodist General Board of Higher Education and Ministry. Double Your Dollars for Scholars Students attending United Methodistrelated institutions not participating in the Triple Your Dollars component of the United Methodist Dollars for Scholars program will receive a total award of $2,000. These schools are listed as Double Your Dollars participants. Get details on our website at: Triple Your Dollars for Scholars Students attending United Methodist-related institutions that have agreed to participate in the Triple Your Dollars component of the UMDFS program will receive $1,000 in matching funds from the school for a total award of $3,000. These schools are listed on our Web site as Triple Your Dollars participants. Recipients should contact their institution s financial aid office for specific information about how their matching award will be granted. WWW.UMHEF.ORG Quadruple Your Dollars for Scholars Under the Quadruple Your Dollars component of the UMDFS program, participating United Methodist conference foundations will provide an additional $1,000 match to recipients sponsored by churches in their respective conferences, bringing the total award to $4,000. These foundations reserve the right to restrict the number of matching awards available. Recipients must be attending a Triple Your Dollars participating institution to be eligible for the Quadruple match; other restrictions may apply per conference foundation. These foundations are listed on our Web site as Quadruple Your Dollars participants. Other restrictions may apply based on individual conference foundation criteria and availability of quadruple funds.

2016 United Methodist Dollars for Scholars Application UMHEF will provide a $1,000 matching scholarship to 600 eligible applicants (including 25 scholarships designated for Hispanic-, Asian-, and Native-American [HANA] students funded by the General Board of Higher Education and Ministry). Candidates must be enrolled or planning to enroll as a full-time student, Fall 2016, in a UM-related college, university, or seminary and be an active member of The UMC for at least one year. Doctoral candidates are not eligible. A check for $1,000 payable to UMHEF from the sponsoring church (no personal checks) must be mailed along with the fully completed application form between January 2 and March 1, (or June 1 for students planning to enroll in a two-year college only). Recipients will be chosen from all eligible applications received. No awards will be made prior to May 1. Every application may not be awarded a scholarship. All applicant funds not awarded will be returned to the sponsoring churches. UMHEF will transfer award funds to the recipient s school in the fall after verification of full-time enrollment is received. An answer must be provided for every question. Incomplete applications will not be eligible. Please type or print legibly. 1. BIOGRAPHY & PHOTOGRAPH: On a separate sheet of paper, please list your involvement in church and community service-related activities and affix to the application when mailing in. Also include a photograph of applicant. 2. Student s full name first middle last Social Security # Birthday / / Male Female Permanent mailing address E-mail City State Zip Home Phone Cell Ethnic group: Caucasian Asian UM school you plan to attend African American/Black Latin American/Hispanic Pacific Islander Native American/Native Alaskan School City/State Other Degree working toward (e.g. BA, BS, MA, MDiv) Current GPA (most recent transcript) Major Classification during Undergraduate: Freshman Sophomore Junior Senior scholarship year: Seminary/Graduate/Professional: First Second Third Parent s name(s) Phone Mailing address Street Address or PO Box City State/Zip Sponsoring Church (Official Name) Phone Church mailing address Pastor s name (printed) Pastor s signature Street Address or PO Box City State/Zip E-mail Annual Conference Is the attached money from: A special collection? From funds held by the church? Other? By submitting this application, you are giving UMHEF permission to use your statement and/or picture in print (e.g. public relations materials) to promote the Foundation, and to release contact information to external church-related sources (e.g. annual conference newspapers). Student s signature Date Deadline: Applications will be accepted after January 2 and must be received via standard mail postmarked no later than March 1 with the exception of applications from students planning to enroll in a two-year UM-related college, which may be received with a postmark date no later than June 1. No awards will be made prior to May 1. This form may be reproduced. Faxes will not be accepted. 2016 application must be used. Applications may also be downloaded from www.umhef.org. How did you hear about us? Mail to: Scholarships Administrator Church Pastor or Youth Minister United Methodist Higher Education Foundation Parent or relative UM Dollars for Scholars Our website, brochure or other promotional material? P.O. Box 340005 Nashville, TN 37203-0005 Other: 1 of 2

UM DOLLARS FOR SCHOLARS CONFIRMATION FORM Please note that you are also required to submit to the UMHEF this completed and signed form and a church check for exactly $1,000 made payable to the UMHEF postmarked no later than March 1.* PLEASE INCLUDE PHOTO OF STUDENT WITH THIS FORM Sponsoring Church (Official Name) Church Address Church ID# Pastor's Name (printed) Pastor's Signature Student's Name (printed) Student's Signature By submitting your complete application, you are giving UMHEF permission to use your statement and/ or picture in print (e.g. public relations materials) to promote the Foundation, and to release contact information to external church-related sources (e.g. annual conference newspapers). Mail to: UM Dollars for Scholars P.O. Box 340005 Nashville, TN 37203-0005 DEADLINE: This completed and signed form and the church check for $1,000 made payable to UMHEF must be mailed to the UMHEF and postmarked no later than March 1.* Are the enclosed funds from: A special collection? From funds held by the church? Other? How did you hear about us? Church Pastor or Youth Minister Parent or relative Our website, brochure or other promotional material? Other: *Applications for students planning to enroll in a two-year, UM-related junior college, may be received with a postmark date no later than June 1. 2 of 2

UM DOLLARS FOR SCHOLARS APPLICATION CHECK LIST UMHEF will NOT send an incomplete application to the Scholarship Review Committee. Read questions carefully to eliminate delays and the possibility of your application not being reviewed. Before mailing your application papers, read and check off the following: Have you answered every question and/or written a response in every blank on the application? Have you enclosed your biography and photo? Are you aware of the deadline date? Did you remember to sign the application? Did you include the confirmation form & $1,000 check from your church? You are urged to have your completed application in the UMHEF office at least one month before the deadline date of March 1. OVERVIEW: UM DOLLARS FOR SCHOLARS PARTICIPATING SCHOOLS & CONFERENCE FOUNDATIONS QUADRUPLE YOUR DOLLARS FOR SCHOLARS Under the Quadruple Your Dollars component of the United Methodist Dollars for Scholars program, participating United Methodist conference foundations may provide an additional $1,000 match to recipients sponsored by churches in their respective conferences, bringing the total award to $4,000. These foundations reserve the right to restrict the number of matching awards available. Recipients must be attending a Triple Your Dollars participating institution to be eligible for the Quadruple match; other restrictions may apply based on individual conference foundation criteria and availability of quadruple funds. Please see the list of our Quadruple Your Dollars participants. TRIPLE YOUR DOLLARS FOR SCHOLARS Students attending United Methodist-related institutions that have agreed to participate in the Triple Your Dollars component of the United Methodist Dollars for Scholars program will receive $1,000 in matching funds directly from the school for a total award of $3,000. These schools are listed as Triple Your Dollars participants. Recipients should contact their institution's financial aid office for specific information about how their matching award will be granted. DOUBLE YOUR DOLLARS FOR SCHOLARS Students attending United Methodist-related institutions not participating in the Triple Your Dollars component of The United Methodist Dollars for Scholars program will receive a total award of $2,000. These schools are listed as Double Your Dollars participants. (see list of schools on next page)

QUADRUPLE YOUR DOLLARS FOR SCHOLARS PARTICIPANTS: The following conference foundations are participating in the Quadruple Your Dollars portion of this program by agreeing to provide an additional $1,000 match to recipients from their conferences for a total scholarship award of $4,000. Recipients must be attending a Triple Your Dollars participating institution to be eligible for the quadruple match; Alabama West Florida United Methodist Foundation California-Pacific United Methodist Foundation East Ohio United Methodist Foundation Georgia United Methodist Foundation Holston Conference of the UMC Foundation, Inc. Missouri United Methodist Foundation, Inc. (students attending Saint Paul School of Theology & Central Methodist Universty) Kansas Area United Methodist Foundation The Kentucky United Methodist Foundation, Inc. Minnesota United Methodist Foundation, Inc. The Oklahoma United Methodist Foundation, Inc. Rocky Mountain Conference United Methodist Foundation, Inc. United Methodist Foundation for the Memphis and Tennessee Conferences United Methodist Foundation of Arkansas United Methodist Foundation of Iowa United Methodist Foundation of Michigan United Methodist Foundation of Western North Carolina, Inc. TRIPLE YOUR DOLLARS FOR SCHOLARS PARTICIPANTS: The following institutions are participating in the Triple Your Dollars portion of this program by agreeing to provide $1,000 in matching funds to their students for a total award of $3,000 to scholarship recipients: Seminaries & Theological Schools Boston University School of Theology Candler School of Theology, Emory University Claremont School of Theology Drew University, The Theological School Duke University, The Divinity School (up to 10 entering students) Garrett-Evangelical Theological Seminary Iliff School of Theology Methodist Theological School in Ohio (up to 15 students) Perkins School of Theology, Southern Methodist University (up to 25 students) Saint Paul School of Theology Wesley Theological Seminary United Theological Seminary Senior Colleges & Universities Alaska Pacific University Albion College Allegheny College Baldwin Wallace University Bethune Cookman University Birmingham Southern College Brevard College Centenary College Centenary College of Louisiana Central Methodist University Claflin University Clark Atlanta University Columbia College Cornell College Dakota Wesleyan University DePauw University Dickinson College Drew University Emory & Henry College Emory University Ferrum College Florida Southern College Green Mountain College Greensboro College Hamline University Hendrix College High Point University Huston Tillotson University Illinois Wesleyan University Iowa Wesleyan College Kansas Wesleyan University Kentucky Wesleyan College LaGrange College Lindsey Wilson College Martin Methodist College McKendree University McMurry University Methodist University Millsaps College North Carolina Wesleyan College North Central College Ohio Northern University Ohio Wesleyan University Oklahoma City University Otterbein College Paine College Pfeiffer University Philander Smith College Randolph Macon College Randolph College Reinhardt University Rust College Shenandoah University Simpson College Southern Methodist University Southwestern College Southwestern University Tennessee Wesleyan College Texas Wesleyan University Union College University of Denver University of Evansville University of Indianapolis Virginia Wesleyan College Wesley College Wesleyan College West Virginia Wesleyan College Wiley College Willamette University Wofford College Young Harris College Two-Year Colleges Andrew College Hiwassee College Louisburg College Spartanburg Methodist College DOUBLE YOUR DOLLARS FOR SCHOLARS PARTICIPANTS: The following institutions are participating in the Double Your Dollars portion of the program only, which will provide a total of $2,000 to scholarship recipients: Seminaries & Theological Schools Gammon Theological Seminary Professional School Meharry Medical College Senior Colleges & Universities Adrian College Albright College American University Baker University Bennett College for Women Boston University Dillard University Duke University Huntingdon College Lebanon Valley College Lycoming College MacMurray College Morningside College Nebraska Methodist College Nebraska Wesleyan University Rocky Mountain College Syracuse University University of Puget Sound University of Mt. Union University of the Pacific

UM DOLLARS FOR SCHOLARS VERIFICATION OF ENROLLMENT FORM UMHEF Scholarships Administrator P.O. Box 340005 Nashville, TN 37203-0005 (800) 811-8110 (615) 649-3974 umhefscholarships@umhef.org www.umhef.org PART ONE - TO BE COMPLETED BY THE STUDENT (AFTER CLASSES HAVE STARTED) After classes have started for the FALL SEMESTER/QUARTER, present this form to the Registrar for the verification of your enrollment. IT IS YOUR RESPONSIBILITY TO SEE THAT THE FORM REACHES OUR OFFICE AT THE ABOVE ADDRESS BY THE DEADLINE OF OCTOBER 1. If possible, you should wait for the Registrar to complete the form and mail it to our office yourself. We must have this form in our office before we can disburse your award. Your scholarship check will be mailed to the Financial Aid Office at your school by November 15. Name of Scholarship Awarded Student s Name (please print) Social Security Number Permanent Mailing Address E-mail Address Phone I authorize to release to the United Methodist School Name Higher Education Foundation, all information requested below. Date Student s Signature PART TWO - TO BE COMPLETED BY THE REGISTRAR After classes have started for the Fall Semester/Quarter The above student has been awarded a scholarship from the United Methodist Higher Education Foundation. This form should be completed by the Registrar verifying the student s enrollment for the Fall Semester/Quarter. In order for our office to have time to process the disbursement, verification of the student s enrollment must be received in Nashville at the address above BY OCTOBER 1. Faxed and/or photocopies of the data will not be accepted. is enrolled and classes have started for the Fall Semester/Quarter. Student s Name Number of Hours student is currently enrolled? Number of Hours required for full-time status? Signed Date Title School Name Phone Street Address/P.O. Box City State Zip E-mail Address Official School Seal