St. Paul Evangelical Lutheran Church
La Grange, Texas
Application Form
Melvin Charles Dippel and Genelle Marie Dippel Scholarship
2008-09
Name ______________________________________________________________ Date _______________________
Home Address ____________________________________ Campus Address ________________________________
________________________________________________ Phone _________________________________________
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Email Address ___________________________________________________________________________________
Member of St. Paul, La Grange since: ___________________
Student Information
Classification 2008-09: Freshman Sophomore Junior Senior CGPA ___________ Major _____________________
List Civic or church activities during 2007-08 _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
List extra curricular activities during 2007-08 ___________________________________________________________
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List special achievements, awards, positions of leadership during 2007-08 ____________________________________
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Note: This scholarship is restricted to members of St. Paul Lutheran Church who are currently enrolled at Texas Lutheran University or who have been accepted for admission. Scholarships are awarded for one year. Application must be made for renewal.
Application Deadline: March 3, 2008
Return this form to: St. Paul Lutheran Church
P O Box 567
La Grange, Texas 78945-0567