Scholarship Application Form

Students hear us say “money is never a reason to not attend…” and we truly believe that – Because of the generous people in our congregation and community we are able to help students afford camp who wouldn’t otherwise be able to have that experience. In an effort to provide assistance to as many families in need as possible we provide a wide range of financial assistance options. Please consider the options below carefully and prayerfully.

Applicant Name

First Name

Last Name

Gender

Email Address

Parent/Gaurdian Name

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Is this scholarship for summer camp?

Below is a list of the financial assistance options we have available. You may combine more than one option for your specific situation (ie: you could combine a payment plan with a partial scholarship).

Payment Plans (up to 3 months)

$ ___ for ___ months

Partial Scholarship

We can pay $ ___ and we need a $ ___ scholarship

Full Scholarship

We have reserved this option for families under unusual or extreme financial duress. By selecting this option, you will be receiving a phone call from a pastor or ministry director to discuss your specific financial need.

Yes (Please call me, we need a FULL scholarship.)

Parent/Guardian Signature: By typing your name here you are verifying and agreeing to the terms of this document.

Please type your name like this /name/

First Name

Last Name

Scholarship Application Form

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