Scholarship Application Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastAddress *City *State *Zip Code *Phone Number *Email *Date of Birth *Gender *Please SelectMaleFemalePrefer Not to SayMarital Status *Please SelectSingleMarriedSeparatedDivorcedWidowedIf married please provide your spouse's name, date of birth, email address, and phone number.Current Employment Status *Do you currently attend church? *Please describe in detail your reason for needing scholarship assistance. *Do you have someone who would be willing to sponsor your experience? *Please share the specific scholarship amount or need requested. *Please share any additional information you feel would be helpful. *Who referred you? If no referral, please provide a reference's name, email and phone number. *Acknowledgement *I, the undersigned, do certify that all the information obtained in the application is both true and accurate to the best of my knowledge.Signature *Thank you for sharing more about yourself and your personal situation. It is an honor and a privilege that we do not take lightly. The Board of KEM will prayerfully gather, review your application, and get back to you within 7- 10 days regarding what assistance, if any, is able to be provided. Submit
