2023 Camp Levi STM Scholarship Application

2023 Camp Levi STM Scholarship Application
- Families serving together as STMs only need to complete one application. List each family member who is requesting a scholarship.
- Scholarships are awarded on a first come, first served basis, with preference given to JPC members.
- The average scholarship will be up to 50% of the Camp Levi registration fee. Additional funding may be given based on need.
Primary Applicant*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Are you a member of Jacksonville Presbyterian Church?*

YesNo
If no, which church do you attend?
Additional Family Members - If you have more than 4 to add, contact Rachel Olstad.
If you are requesting more than a 50% scholarship, briefly describe your financial need.
Click "Submit" complete the scholarship application. You will receive a confirmation as well as an email to confirm your application. Please contact us if you have any questions or concerns.

Rachel Olstad
Camp Levi Co-Director
CampLeviRegistration@jvillepres.org
(541) 601-0194
This form will be live on January 23, 2023 6:00 AM.
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Date
Time

:HourMinutesAM/PM Option
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