Virginia Chaplains Conference
Needs-based Scholarship

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The VCA offers an annual needs-based scholarship of $300 to a student, who is a permanent resident of Virginia and is enrolled in or accepted to an accredited CPE Program.
Date  ______________________



Name __________________________________________________________________
 
Address  ________________________________________________________________
 
City  ___________________________  State:  _____  Zip Code  ____________

Telephone  _________________  Email ___________________________

CPE Center  ___________________________________________________________
 
Supervisor  ___________________________________________________________
 
CPE Center Phone  _________________________________________________________

 
        I am a permanent resident of the Commonwealth of Virginia  _______  (Initial)

 
Signature  ___________________________________  Date  ___________

 
Attach a brief explanation of your interest and goal in CPE.  Provide a statement of your financial need, including what sources of income you have to finance your education.

Send completed application to :     


Alma Hassell, M.S. M. Div., B.C.C.
Virginia Commonwealth University, S.A.H.P.O.
Box 980664
Richmond, V 23298-0664
(804) 828-0537
ahassell@vcu.edu