PhDApplyS01 - Higher Education & Leadership Ministries

For questions or help: Refer to full Application Instructions or contact us PhDScholarships@helmdisciples.org (links will open in new tab).

Name

Name and Email Address

First Name *

Middle (Initial)

Last Name *

Preferred Name

Email *

For which scholarship are you applying? *

Personal and Contact Information

Date of Birth *

Gender *

Cell Phone *

Home Phone

Current Address

Current Address *

Apt, Suite, etc. If necessary

City/Town *

State/Province *

Country *

Zip Code *

If other country, please specify:

Church Information

Your Home Church *

Home Church's Location *

Phone Number *

Pastor's Full Name *

Include title and/or position if applicable

Additional Pastor's Full Name

Include title and/or position if applicable

Ordination Information

Which describes you best? *

Ordaining/Commissioning/Licensing/Under Care Region *

Date of (expected) ordination/commissioning/licensing *

School Information

Education Information

Name and location of school where you will be enrolled in 2023-2024 *

Please, include name of school, town/city & state/province

Degree *

Graduation *

expected

Current Candidacy Status *

Field or Area of Concentration *

Secondary Field or Area of Concentration

Transcripts

Official Transcripts

Request an official transcript from your school. Unofficial transcripts, grade reports, or transcripts submitted directly by the applicant will not be accepted. Your school can submit your transcript on your behalf through one of the following two methods:

Via email By March 31, 2023 11:59 PM EST Rev. Katy Sundararajan Higher Education & Leadership Ministries ksundararajan@helmdisciples.org

Via mail Postmarked by March 31, 2023 Rev. Katy Sundararajan Higher Education & Leadership Ministries PO Box 1986 Indianapolis, IN 46204

Transcript Request *

I understand that I must request my school to furnish officials transcripts to HELM

Transcript Delivery Method *

Submit

Submit Part I

This completes the first portion of your application. However, there are two (2) additional steps. Once you click “Submit” you will be redirected to a page containing the additional sections. You do not have to complete Sections II, III at this time; but, remember, all sections must be completed by March 31, 2023 11:59 PM EST for your application to be considered complete.

I affirm that all answers have been provided by myself (the applicant) and are correct to the extent of my knowledge.

I understand that I must still complete Sections II & III before the deadline for my application is complete.

How did you hear about HELM's PhD Scholarships? *

Signature *

Please enter your name as your signature

Jones Scholarship and Dickerson Scholarship 2023 Application Section I

Name

Name and Email Address

Personal and Contact Information

Personal and Contact Information

Current Address

Church Information

Church Information

Ordination Information

Ordination Information

School Information

Education Information

Transcripts

Official Transcripts

Submit