Student Application

Name*
First Last
Date of Birth
Date Format: MM slash DD slash YYYY
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Cell Phone*
Home Phone
Email*
Select One
- First-time Freshman
- Transfer Student
Living on Campus?
- Yes
- No
Name of Pastor/Youth Pastor
First Last
Home Church*
Address of Home Church
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Number of years church membership has been held
Church involvement (ministry activities, positions held, etc.)
Intended major while attending Hannibal-LaGrange University
Areas of extracurricular interest
Scholarship Qualifications:
The IMB Dependent 50% Tuition Scholarship is available to current high school and home school seniors, as well as transfer students who are new to the HLGU campus. To be eligible the student must:
- Student must be a dependent of a missionary from the International Mission Board.
- Student must meet all admission guidelines.
- Scholarship cannot be combined with additional HLGU scholarships.
- Scholarship can only be used for fall and spring semesters.
- Scholarship is renewable for 8 consecutive semesters only.
The IMB Dependent 50% Tuition Scholarship is renewable for 8 consecutive semesters, requires a 2.5 GPA for renewal, cannot be combined with additional HLGU scholarships and is available to fall and spring semester students only.
Name
This field is for validation purposes and should be left unchanged.

Scholarship Qualifications: