W. NORMAN McLEOD SCHOLARSHIP
Part I:  STATEMENT OF PERSONAL FINANCES

Name:  		
	First Name, Middle Name, Last Name	
Address:		
	Street	City	Province	
	Tel.			
	Postal Code	Home	Mobile/Work	
E-mail(s) 		
	
Institution & Program:		
Year of entry into current post-graduate program: 		
	
Have you previously been awarded a McLeod Scholarship?	Yes  ___*	No ___	
	*If Yes, please answer question #3 of Part II	
Are you applying for any other scholarships or bursaries?	Yes  ___	No ___	
What other scholarships/bursaries have you received? 		

Income (for year of study)	
Number of dependents other than self:		
Net family income from all sources:	$		
Amount received for housing and transportation, if applicable:	$		
TOTAL INCOME:	$		
	
EXPENSES (for year of study)	
Housing	$		
Other living costs	$		
Debt payment	$		
Estimated study expenses for year of application: 	
Tuition	$			
Other Fees	$			
Books	$			
Transportation	$		please state nature:		
Research costs	$		please state nature of any special research costs required:		
Other	$			
Total Study Expenses:	$			
TOTAL EXPENSES:	$		
	
Date:  		Signature of Applicant:  		

W. NORMAN McLEOD SCHOLARSHIP
Part II:  PERSONAL INFORMATION

1.	What is your purpose for seeking further education in the area of pastoral ministry? How do you expect your study to benefit yourself, your area of pastoral work, and the wider church? 	
	
2.	Please outline your post-secondary educational background indicating what schools you have attended/are attending, dates of attendance, and degrees or certificates obtained. 	
Institution	Date Attended	Degree/Certificate	

			
			
3.	Please state briefly any other information pertinent to your application, particularly how this scholarship will serve you in pastoral ministry. *Repeat applicants MUST include an update.	
	
4.	Please indicate how you heard of the McLeod Scholarship.	
	
5.	What is amount of your request? 				

6.	Please attach the following documentation: 
o	a transcript from your theological school (only needed for first time applicants)
o	a letter from the Principal or faculty member of that school endorsing your application, or from someone who is familiar with you and your current work 
o	a reference letter written by someone familiar with your current academic work, describing how that work contributes to your ongoing pastoral leadership. 

Submit your application by 8:30 pm eastern March 15th by email scholarships@united-church.ca or mail to
ATTN: The United Church of Canada Foundation, 3250 Bloor St. W., Suite 200, Toronto, ON   M8X 2Y4