| Monday, January 05, 2009 |
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Community Presbyterian Church
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College student members of CPC: Copy the application below for the 2008-2009 school year. Submit it at anytime before July 1, 2009 with your receipts for college books to the CE committee. Reimbursements will be awarded in July 2009. Community Presbyterian Church150 Sherry Drive email: Nancy@communitypcusa.org Telephone 904-249-8698 Atlantic Beach, Florida 32233 website: communitypcusa.org Fax 904-246-1522
NAME __________________________________________________________
ADDRESS _______________________________________________________
PHONE ___________________________ SSN ______________________
NAME OF PARENT OR GUARDIAN __________________________________
ADDRESS (IF DIFFERENT) _________________________________________
NAME OF COLLEGE/UNIVERSITY ___________________________________
ADDRESS _______________________________________________________
DATES ATTENDED _______________________________________________
Community Presbyterian Church has established this book reimbursement fund to assist members of the congregation in meeting their college expenses. WITH THIS APPLICATION, PLEASE INCLUDE COPIES OF THE RECEIPTS OF THE EXPENDITURES FOR COLLEGE BOOKS FOR THE LAST TWO SEMESTERS. Awards may vary according to the funds available. Eligibility extends for up to four years.
TOTAL AMOUNT REQUESTED (up to $250/year) _____________________
To Whom should the check to made out and mailed? ___________________
Applications must be received by the church no later than July 1 for the previous school year’s receipts. Awards will usually be disbursed in August.
We would like to encourage you to donate back to the Community Presbyterian College Book Fund in the future as you are able, to assist those following in your footsteps.
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