Dorian S. Taylor Memorial Scholarship Application 

Scholarship Requirements:

Application Deadline:
• Online application form and photo must be submitted by April 1st.
• Confirmation of Kirkwood UMC membership form must be postmarked no later than April 1st.

Additional Required Materials to Mail (PO Box 1076, Columbia, MO 65205)

Official Transcript:
• High School Seniors: You must submit an official high school transcript. (A copy bearing the official stamp of the school may be sent from the school office.)
• College Freshmen or First-year Vocational Students (at time of application): You must submit an official high school transcript. (You may also submit an official college/vocational school transcript in addition to the high school transcript.)
• College Sophomores, Juniors & Seniors or Second-year Vocational Students (at time of application): You must submit an official college/vocational school transcript only.

Standardized Test Score (ACT or SAT):
• High School Seniors: Test score may appear on an official high school transcript or be sent to the Foundation directly from the ACT or SAT services.
• College Freshmen or First-year Vocational Students (at time of application): Test score may appear on an official high school transcript or be sent to the Foundation directly from the ACT or SAT services.
• College Sophomores, Juniors & Seniors or Second-year Vocational Students (at time of application): A test score is not required.

Confirmation of Kirkwood UMC membership:
The applicant must give the Kirkwood UMC pastor the confirmation of Kirkwood UMC membership form to complete and mail to the Foundation (PO Box 1076, Columbia, MO 65205) indicating the applicant is a full member of the Kirkwood UMC and has been a member for at least one year prior to application. If the applicant is the child of his/her pastor, the page should be signed by an officer of the church or a peer pastor.
Kirkwood UMC Membership Comfirmation

Before you begin filling out the online application:
• You must complete and submit the application all at one time. You will NOT be able to save the application and come back. If you quit before completing the application, you will have to start over again.
• If you submit your application and determine changes or additions need to be made, please call the Foundation office at 800-332-8238. Changes and additions cannot be made online.
• You will receive an email confirming our receipt of your application once it’s submitted. Please retain the confirmation email for your records. If you do not receive an email, please call our office. Your application may not have been received by the Foundation.

Dorian S. Taylor Scholarship Application

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First Name *

First Name

Middle *

Middle Name or Initial

Last Name *

Last Name

Address *

Address

Address

Address

City

City

State/Province Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

State/Province

Zip/Postal

Zip/Postal

Phone *

xxx-xxx-xxxx

Email *

Home Church *

High School *

College/ University/ Vocational School *

College Student ID (if available)

Major/ Intended Major *

Applicant Statement: Submit a one-page (12-pt, double spaced, one-inch margins) statement describing your actual or planned course of study, goals for future activities or career, and any other information you wish to share. You may upload your statement to the right.

Attach Applicant Statement *

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Maximum upload size: 10.49MB

Student Photograph: Please attach a yearbook headshot for publication purposes. Photos will not be forwarded to the Scholarship Committee and are only used to recognize award recipients in Foundation publications.

Attach Student Photograph *

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Maximum upload size: 10.49MB

I understand that by submitting my application, I agree to the following:

This application and related materials are submitted for consideration only for the academic year noted above, and the information contained in these materials is accurate and truthful to the best of my knowledge. I have not received scholarship assistance from the Missouri United Methodist Foundation (“Foundation”) in prior years.

The scholarship decision is within the sole discretion of the Foundation. All scholarship decisions are final and are not subject to further review or contest by any student applicant. Scholarship awards are made contingent on verification of enrollment.

In the event that I receive a scholarship or grant of financial assistance from the Foundation, I hereby authorize the Foundation to publish my name and picture in various public media in order to publicize the Foundation scholarship and grant programs and to acknowledge my award. 

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