First Responders Scholarship Application

Thank you for your service as a first responder!
The KMBC First Responders' Scholarship is a combination merit and need-based scholarship for the purpose of honoring our first responders and making Biblical and ministry training more accessible for you. Application for the scholarship is required, and amounts awarded vary based on both merit and need-based factors. All decisions are made by the KMBC Scholarship Committee.
Name*
First Last
Date of Birth*
MM slash DD slash YYYY
First Responder Type / Department*
Position / Rank*
Years of Service*
Include all first-responder positions, not only your current one.
Any special recognitions received? (optional)
Please provide any additional information you would like to include
Please explain your personal and ministry goals.*
ie, "Why would you like to pursue ministry and Biblical training at KMBC?"
Email*
Phone*
Address*
Street Address Address Line 2 City State ZIP Code
Financial Information
For need-based consideration. KMBC prefers that each applicant complete the government FAFSA at www.fafsa.ed.gov . This will be used as the basis for need-based consideration. If you have not completed a FAFSA, you may enter your financial information manually here.
Have you completed a FAFSA?*
KMBC's FAFSA code is 030021
- Yes, use my FAFSA information
- No, I will enter my financial information manually
Total Gross Annual Household Income*
If multiple income-earners, enter the combined total.
Number of people in the household*
Number of dependents claimed on most recent tax return*
Number of people in the household who will be enrolled in college in the upcoming semester*
Other income that may not be reported on the tax return (disability, housing, Roth IRA distributions, etc.).*
Please explain, or write "none" if not applicable
Total balance of checking & savings accounts*
Total value of investments (excluding primary home)*
Contributions to retirement accounts in the last 12 months*
Please share any information or explanation regarding your financial circumstances that may be helpful (optional).
I hereby acknowledge that the information submitted here is true and correct, and give permission for KMBC to share my information with scholarship donors
Signature
Date*
MM slash DD slash YYYY
Name
This field is for validation purposes and should be left unchanged.

Financial Information

I hereby acknowledge that the information submitted here is true and correct, and give permission for KMBC to share my information with scholarship donors