LCBA - Life Insurance with a Conscience - Elementary/Secondary Scholarship

Elementary/Secondary Scholarship

Overview Twenty scholarships of $200 are awarded each year via a lottery. Scholarships are not automatically renewable. However, students may apply and/or reapply each year. Student applicants may attend any accredited Christian elementary or secondary school in the United States and must be entering kindergarten to 12th grade. Eligibility Requirements Student applicant must be a benefit member or be the natural or legally adopted grandchild or child of a benefit member. The LCBA life or annuity certificate qualifying the applicant must be issued no later than the application deadline. Student applicant must be entering kindergarten to grade 12. Be enrolled at a state accredited Christian elementary or secondary school for fall classes. Applicant must be a benefit member on an LCBA life or annuity certificate issued no later than the application deadline. Parent or guardian of student applicant must complete the approved application form below or print and mail the application by May 1st of the year in which the scholarship is to be awarded. There is a short essay required but it is NOT judged. Applicant must enclose a photo with application. Scholarship Process LCBA will screen applications for the eligibility requirements. Scholarships will be awarded by random drawing by an LCBA National Officer. Selections will be final. Scholarship recipients will be notified by May 15th of the year in which the scholarship is awarded. Announcements will be made in direction. Payments are made directly to the approved school. The LCBA reserves the right to modify, suspend, or terminate this program without prior notice. Such action would not affect the scholarships in process. To Apply Complete the scholarship application by clicking apply now or click here to print out a copy to mail. If sending a hard copy, don't forget to write a 50 word essay on ?How Christian school attendance will benefit me (or my child)? and a photo and send or fax by May 1st to: Elementary/Secondary School Scholarships LCBA ~ PO Box 13005 ~ Erie, PA 16514-1305 Fax 814-453-3211
	* This field is mandatory
First Name *
Last Name *
LCBA Qualifying Certificate
Insured Name (If other than applicant)
Relationship of Insured to Applicant
Address *
Address 2
City *
State *
Zip *
Gender
Date of Birth *
Phone *
Email *

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

	School Information
School Name
School Address 1
School Address 2
City
State
Zip
School Phone
Tuition Cost

Write a 50 word essay on "How Christian school attendance will benefit me (or my child)."

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 Elementary/Secondary 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