PEACE Plan Scholarship Application

* First Name

* Last Name

* Street Address

Address Line 2

* City

* State

* Zip Code

* Phone Number

* Email Address

* Please tell us about your involvement at New Life:

Are you a member in good standing?
Are you a regular attender (2-3 times per month)?
Do you participate in a ministry?
Are you a regular giver?

* Position of volunteer ministry at NLBC
(please list all areas of current service):

0/255 characters

* Have you completed Class 410?

* Date of completion

* Mission Trip Destination:

* Group Leader Name:

* Signature of participant

* Please select your Team Leader's name from the list below.
They will receive a copy and the church office will receive a copy.

* Indicates Response Required