Fall Conference Scholarship

Scholarship applications must be received by July 10th and will be notified by July 24th. Scholarship recipients must be prepared to register for conference prior to September 1st.

Scholarship awards and the dollar amount of the scholarship will be determined by the number of applicants and the funds available. Please Note: Scholarship funds are for partial registration fees only and recipients are responsible for any remaining fees and/or expenses.

Name(Required)

First Last

Email(Required)

Title

Address(Required)

Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code

Phone(Required)

Home Church(Required)

Please describe your involvement in activities at your home ministry:(Required)

Please describe your involvement and/or attendance at activities of our Eastern Region:(Required)

Please share with us why you are interested in attending the 2026 annual fall conference and how a scholarship will help fulfill that vision:(Required)

Signature(Required)