Rooted Scholarship Application

ROOTED Scholarship Application

PURPOSE: At UCC, we seek to provide everyone with an opportunity to encounter Jesus and experience the great love and grace that God has shown us all. We understand that finances can be an obstacle at times. We never want this to prevent anyone from attending or being part of something like Rooted. No one, other than pertinent staff, will have access to this application or the information provided.
PERSONAL INFORMATION
Name:*

First NameLast Name
Address:*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number:*
Email:*
example@example.com
Will anyone be experiencing Rooted with you?*

YesNo
If yes, please share their name and relation to you (spouse, girlfriend, friend, etc.).
(Mike Smith, husband)
FINANCIAL INFORMATION

We are willing to provide full scholarships. However, we will likely ask you to at least provide some financial investment in this journey.
What is the total advertised cost you will pay for Rooted (include spouse or partner's cost as well, if applicable)?*
example: $40, $80, etc.
How much are you able to afford?*
example: $0, $50, etc.
APPLICATION QUESTIONS

Please answer completely and to the best of your ability. Contact Josh Nelson if you have any questions.
1) How long have you been a part of UCC? And to what degree?*
2) Do you have an area of ministry where you serve regularly as a volunteer? If so, where? Tell us about your experience.*
3) Why do you want to be part of Rooted?*
4) Share how you hope that Rooted will help in your relationship with God?*
As part of the scholarship program, we may ask you to "pay it forward" at some point in the future through one or more of the following means:
- Sharing the story of your Rooted journey on video (or other medium) for use in UCC's social media or other promotional materials
- Being willing to be a group Facilitator/Leader at some point in the future
- Serve by helping with set-up or clean-up (or similar) before or after Rooted events
- When you are financially able, to donate so that someone else can receive a scholarship to experience Rooted
Signature*
Date:*

MonthDayYear
Should be Empty:

ROOTED Scholarship Application

PERSONAL INFORMATION

FINANCIAL INFORMATION

APPLICATION QUESTIONS