Camp Scholarship Fund

Dan Parker Camp Scholarship Fund

Application for a CCCU ECY Camp Scholarship
Each year, the Dan Parker Scholarship fund gives those who wouldn't otherwise be able to afford it a chance to attend a summer camp or retreat where they can encounter God in a way that every teen enjoys. A generous donor believed those moments in a teen's life are important, which is why this scholarship fund was started.
Student's Name

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Email
example@example.com
Church Name
Camp or Retreat Name
Choose the camp you are requesting a scholarship for.
Scholarship Amount Requested

Reason for Need
Briefly describe the reason you are unable to pay for registration.
Final Section
I certify that the information contained in this application is true and complete.

Yes
Signature

Clear
Should be Empty:

Dan Parker Camp Scholarship Fund