2021+scholarship+application+form

Southeast Gateway (Orchard Crest) Permanent Fund: 2025 Summer Program Scholarship Application Form

Please complete one form per family (in addition to the necessary individual registration forms for each camper). Scholarship amounts are usually half of the camp fee. Applications are due by June 1.
Parent Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent Phone Number*
Please enter a valid phone number.
Parent Email*
example@example.com
Congregation Name and City*
1st Camper Name and Age/Grade*
What program is your 1st Camper planning to attend?*
2nd Camper Name and Age/Grade
What program is your 2nd Camper planning to attend?
3rd Camper Name and Age/Grade
What program is your 3rd Camper planning to attend?
Please indicate the amount of scholarship you are requesting (total for all campers). *
Please help us understand the need surrounding your scholarship request (please check all that apply):*

Our church cannot provide any scholarship supportOur church will provide some funds but we are unable to cover the rest of the feesUnemployment/other financial hardshipOther
How much of this cost can your congregation provide?
Please briefly describe the situation:
Required acknowledgement*

I agree to abide by the rules of the event, and to cooperate with other participants and staff in helping to fulfill the event's goals. I also understand each participant is required to attend the event in its entirety.
We will be contacting your pastor for their affirmation of this application.*

I will inform my pastor of my application so that they will expect your request.
Should be Empty:

Southeast Gateway (Orchard Crest) Permanent Fund: 2025 Summer Program Scholarship Application Form