LCBA - Life Insurance with a Conscience - George G. Lichvarik Scholarship

George G. Lichvarik Scholarship

Overview This program provides for one (1) $300 one-year scholarship for students attending or entering an accredited degree or certificate granting institution and working towards his or her first degree or certificate. While the scholarship is only for one year, the student can apply for a scholarship each year that he or she is in school and working towards the completion of the initial degree or certificate, for the ?normal? term of their program based on full-time enrollment, or until termination from the educational facility if termination should occur before the normal term. Eligibility Requirements Applicant must be a benefit member of the Orthodox Division of LCBA. Applicant must be insured on an LCBA Orthodox Division permanent life insurance certificate or annuity with a minimum $1,000 face amount/coverage. Applicant must complete the approved application form. Applications must be returned to LCBA National Headquarters by July 31 of the year in which the scholarship is awarded. There is a limit of one (1) scholarship to be awarded per student. Award Process LCBA will screen applications for the eligibility requirements. The scholarship will be awarded based on the decision of a LCBA National Officer. All decisions are final. The scholarship recipient will be notified by LCBA in the year in which the scholarship is awarded. Payment is made directly to the educational institution. Announcements will be made in Direction and on the LCBA website. LCBA reserves the right to modify, suspend or terminate this program without prior notice. To Apply Complete the scholarship application below or click here to print out a copy to mail. Applicant must enclose a photo with application. Orthodox Division GGL Scholarship Orthodox Division of LCBA PO Box 13005 Erie, PA 16514-1305 Fax 814-453-3211 All applications must be postmarked no later than July 31. If you have any other questions, please call LCBA National Headquarters at 800-234-5222
	* This field is mandatory
First Name *
Last Name *
Orthodox Division Policy Number
Address *
Address 2
City *
State *
Zip *
Gender
Previous Winner
Date of Birth *
Phone *
Email *

High School
GPA
Graduation Date
Address
Address 2
City
State
Zip

Post Secondary Institution
GPA
Address
Address 2
City
State
Zip

Attach your picture
.jpg, .gif, .tif, .bmp only. 400K max. You MUST rename you pic with applicants full name. ie. johnjones.jpg - If you are not attaching your photo, please provide a hard copy to the address above.

Name any extra curricular activities participated in high school or at an accredited institution. List the activity, years of participation and position held.
Name academic honors or awards you received in high school or accredited institution and the dates.
Describe any church activities you participated in.

The LCBA Privacy Pledge The LCBA will not use the member information obtained in this online scholarship application for any purpose outside of the scope of the LCBA scholarship program. The information provided will not be given or sold to any other companies or organizations. As a scholarship winner, I hereby (or parent or guardian for those under the age of 18) give my permission to the Loyal Christian Benefit Association to use my name, photograph, and biographical information in publications or promotional pieces produced and distributed for the George G. Lichvarik Scholarship program by the Loyal Christian Benefit Association, including those on the world wide web. I understand that I will not be compensated for the use of any photographs or information. I also understand that I am not obligated, as an LCBA member, to give the use of my name, photo, or biographical information. Parent or Guardian: Please Type Your Name and Today's Date in the Boxs Below.

Name *
Date *

The LCBA Privacy Pledge