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Scholarship Application Form
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Please enable JavaScript in your browser to complete this form.
of the
Name
*
First
Last
Phone Number
*
Email
*
Congregation
*
Ames
Andover
Bloomington
Chariton
Clear Lake
Coalville
Des Moines Central
Indianola
Knoxville
Lamoni
Marshalltown Onine
Monroe
Des Moines Northwest
Osceola
West Des Moines
Please enter the amount of funding you are requesting
*
Please explain why this scholarship is important to you.
*
Nature of the training/event.
*
Overall cost of the event.
*
Date of the training/event.
*
Are you a first-time attendee?
Yes
No
Any other funding you may be receiving?
If so, please supply the fund name and the amount you are receiving
Fund Name
Amount Received
Have you received a LHMC scholarship in the past?
*
Yes
No
Past LHMC scholarship information
Purpose of Scholarship
Date
Would you be available for a personal interview if there are questions?
*
Yes
No
Submit
Upcoming Events
Feb
21
February 21
-
February 22
Guthrie Grove Board Meeting
Feb
28
February 28 @ 8:00 am
-
March 2 @ 5:00 pm
LHMC SALT Retreat
Mar
8
10:00 am
-
2:30 pm
CFO Audit Party
View Calendar
Upcoming Temple Classes!
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