The Philip L. Hougen Campus Ministry Scholarship Pastor / Youth Leader Reference Form

Scholarships ranging from $500 to $1,500 are available to current and prospective Lutheran students who participate (for prospective students: who express intention to participate) regularly in Grand View campus ministry activities. Renewal is based on level of participation in campus ministry activities, and recipients must maintain a 2.0 cumulative GPA.

Please fill out this reference form and submit by March 1, 2024. The applicant will not be provided a copy of this reference.

Name of Prospective Grand View Student

Your Name

Position

Address

City

State

Zip Code

Phone Number

Email Address

Please describe your experiences with and observations of this person; include how long you have known him or her.

Please describe how this person has been faithful to his or her baptismal covenant since confirmation.

How might you expect this person to be involved with Grand View Campus Ministry?

Submit letter of referral (optional)

Digital Signature (type initials)