ETT Scholarship Form Name(Required) First Last Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone(Required)Email(Required) Home Church or Church Where You Serve(Required) Are you a Ruling Elder or Teaching Elder?(Required) No, I am neither Ruling Elder Teaching Elder I am requesting the following amount:(Required)Name of the Event you are requesting scholarship for(Required) Date of Event(Required) MM slash DD slash YYYY Location of Event(Required) Total Cost of Event(Required)My home church will contribute:(Required)Why do you want to attend this event and what benefit will you and your church receive from your participation?(Required)Please Note: ETT requires a month to discern, notify and arrange payment of funds. ETT requests a paragraph and a photo if possible after the event to publicize the scholarship and the benefits of attending conferences.