I have attached evidence of enrollment required in the Institution Information section. I affirm that I
have fulfilled the requirements of being a voting member or an associate member of Holy Trinity
Lutheran Church by having communed in this congregation and by having made a financial
contribution to Holy Trinity Lutheran Church in the current or preceding year. I certify that the
information provided in this application is true and correct as of the date set forth opposite my
signature and I further acknowledge that any intentional or negligent misrepresentation of this
information contained in this application may result in my application being removed from
consideration of the scholarship(s) applied for.