LDSM Book Award

Donald E. Jones Sr. Student Book Award Applicaiton / Renewal

Lewis Danforth Scholarship Ministry
Name
First Name Last Name

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number
- Area Code Phone Number
E-mail
College or University
Year of Studies

Freshman Sophomore Junior Senior Graduate
GPA - Most Recent Term
GPA - Cumulative
***** Amount of award is $300 per applicant per application, and can be awarded up to a maximum of two times each school year ****

Please sumbit at time of application:
- Schedule for semester / term the award is requested for
- Grade report or transcript showing the most recent completed term
Note: In some courses, "Books may be replaced by on-line cours ematerials, lab and other instructional methods that have fees.

Return application: Church office or contact Trustee Anita Montgomery @ 513-378-5423 or by email alom40@aol.com or almontg57@gmail.com
Committee Use Only:

Date Received:

Received By:

Approved / Denied:

Amount of Award:

Date Disbursed:
Should be Empty: