CHARLES W. COLSON SCHOLARSHIP Application

CHARLES W. COLSON Scholarship Application Wheaton College Billy Graham Center

500 College Avenue - Suite 418, Wheaton College, IL 60187
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ELIGIBILTY REQUIREMENTS
- A Christian
- A U.S. Citizen
- A felony record (Felonies MUST NOT include a sexual offense, arson or repeat violent offenses)
- Accepted to Wheaton College Undergraduate or Graduate School
CHECKLIST TO COMPLETE THE APPLICATION PROCESS

1. Apply to Wheaton College Undergraduate or Graduate Admissions

2. Complete your Colson Scholarship Application including
- Application form
- Essays: Statement of Faith, Statement of Career Goals, Statement of Incarceration
- Recommendations: Friend, Professional & Pastor
- Incarceration Information/Release (if applicable)
- Parole Release (if applicable)
PERSONAL INFORMATION
Legal Name:*

First NameMiddle NameLast Name
Home Address :*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Mobile No. :*

Area CodePhone Number
E-mail :*
Where the confirmation will be sent to
Please re-type your email:*
Where the confirmation will be sent to
Sex at birth
Date of Birth:*

MonthDayYear
Date
Social Security Number (Numeric - No Dash Marks)*
Driver's License Number:
State Issued:

Street Address

Street Address Line 2

CityState

Zip Code
Race and Ethnicity (optional)
Are a U. S. Citizen?
Marital Status
If children, list names and ages:
text entry
MILITARY SERVICE
Branch:
text entry
Years:
text entry
Type of discharge received:
text entry
EDUCATION
High School Attended:
text entry
Street Address

Street Address Line 2

CityState

Year graduated
Did you graduate?
If you did not graduate, do you have a GED?
Date passed GED:

MonthDayYear
Date
List any accredited college/universities you have attended.
EDUCATIONAL PLANS
Are you applying to the undergraduate or graduate program?*
What is your intended major if accepted?
text entry
EMPLOYMENT HISTORY
Please provide the most recent job history
CHURCH/MINISTRY INVOLVEMENT
Name of Church you presently attend*
text entry
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Describe any ministry/volunteer involvement you have had at this church.*
text entry
INCARCERATION INFORMATION

I was incarcerated in the following correctional institution(s):
Institution Name:*
text entry
Date of incarceration:*

MonthDayYear
Date
Release Date:*

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Felony Offense (s):*
text entry
Institution Name:
text entry
Date of incarceration:

MonthDayYear
Date
Release Date:

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Felony Offense (s):
text entry
Institution Name:
text entry
Date of incarceration:

MonthDayYear
Date
Release Date:

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Felony Offense (s):
text entry
I, hereby grant Wheaton College the right to contact administrators of the institutions(s) above and/or conduct a criminal background check confirming my incarceration. (Initials)
PAROLE INFORMATION
I am currently on parole or probation in the state of

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Until:

MonthDayYear
Date
Parole/probation officer:

First NameLast Name
Phone Number

Area CodePhone Number
Explain how a move to the state of Illinois will affect parole/probation conditions
I, hereby grant permission for the Correctional Ministries Institute staff to speak with my parole/probation officer.(Initials)
AUTOBIOGRAPHICAL INFORMATION
Have you accepted Jesus Christ as your personal savior?
STATEMENT OF FAITH
Describe your spiritual journey (coming to faith in Christ and evidence of Christian growth while incarcerated and since release). (3-4 paragraphs)*

0/250
STATEMENT OF INCARCERATION
Describe your a.) path to incarceration, b.) illegal act (s), c.) impact on victims and, d.) how you have changed. *

0/250
STATEMENT OF CAREER GOALS
What are your career goals and how will furthering your education at Wheaton College assist in meeting your goals?*

0/100
RECOMMENDATIONS

In the fields below, please provide contact information for: FRIEND, PROFESSIONAL AND PASTOR recommendations. Each person will receive an email with a confidential electronic recommendation form from Correctional Ministries Institute.
I, hereby voluntarily waive my right of access to any information contained on the recommendations from the individuals listed below and agree that the statements shall remain confidential. (Initials)*
Friend Recommendation

Please provide name and email address
FRIEND NAME

First NameLast Name
FRIEND EMAIL*
example@example.com
Professional Recommendation

Please provide name and email address
PROFESSIONAL NAME

First NameLast Name
PROFESSIONAL EMAIL*
example@example.com
Pastor Recommendation

Please provide name and email address
PASTOR NAME

First NameLast Name
PASTOR EMAIL*
example@example.com
COMMUNITY COVENANT
Please read Wheaton’s Community Covenant at https://www.wheaton.edu/about-wheaton/community-covenant/ . The covenant is designed to express the crucial Christian convictions, aspirations, commitments and responsibilities shared by the members of the Wheaton College campus family. In applying for membership in this community, you should therefore weigh carefully whether these convictions, aspirations and commitments match your own, and whether you can gladly join in fulfilling the covenant’s responsibilities.

“I affirm by my signature below that I have carefully read Wheaton’s Community Covenant, that this covenant expresses my own Christian convictions, aspirations and commitments, and that, if I am accepted and subsequently enroll as a student at Wheaton College, I will gladly join in fulfilling its responsibilities. (Please explain any questions, reservations or disagreements in an attached statement.)”

“I also affirm by my signature that all the information contained in my application, including my essays, is my own work, factually true and honestly presented.”
Name*

First NameLast Name
Signature*
Applicant's E-Signature
By signing (typing your legal name) in the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.
E-Signature:*
Type a question
Wheaton College is committed to equal opportunity in employment and education. The College does not discriminate in any program or activity on the basis of race, color, religion, gender, age, national origin, disability, marital status, or any other protected class.
Should be Empty:

CHARLES W. COLSON Scholarship Application Wheaton College Billy Graham Center

PERSONAL INFORMATION

MILITARY SERVICE

EDUCATION

EDUCATIONAL PLANS

EMPLOYMENT HISTORY

CHURCH/MINISTRY INVOLVEMENT

INCARCERATION INFORMATION

PAROLE INFORMATION

AUTOBIOGRAPHICAL INFORMATION

STATEMENT OF FAITH

STATEMENT OF INCARCERATION

STATEMENT OF CAREER GOALS

RECOMMENDATIONS

Friend Recommendation

Professional Recommendation

Pastor Recommendation

COMMUNITY COVENANT

Applicant's E-Signature