Ruth Richardson Scholarship Application
Name_______________________________________________ Birth Date________________________ Home Address _____________________________________________________________________________________ _____________________________________________________________________________________ College Address _____________________________________________________________________________________ _____________________________________________________________________________________ Home Phone _________________________
College Phone _________________________________
Are you a member of Christ Congregational Church? Y N
If yes, year joined __________________
Are either of your parents members of CCC?
If yes, year(s) joined________________
Y N
What college do you attend? _____________________________________________________________ Major, If declared_____________________________
Minor, if any_____________________________
Expected date of graduation_____________________ Degree _________________________________ Current Employment, if any______________________________________________________________ Please answer the following 2 questions on a separate sheet of paper. 1.
What are your career goals? Also, please describe the area of education you plan to have a career in. Be a specific as possible. (100 words or less) 2. Describe any paid work or volunteer experience you have had in education and how it relates to or has influenced your chosen career. (100 words or less) To complete your application, you must provide an official, up-to-date transcript for all college level courses completed. You may include the transcript with this application or have it sent separately. Mail To:
Christ Congregational Church Attn: Ruth Richardson Scholarship Committee 9525 Colesville Road Silver Spring, MD 20901