Blessing Scholarship Intake Form
Please complete the form below to give me a little more information about your scholarship request. Once I receive this form I'll be in touch, but please don't hesitate to reach out between now and then if you have questions: keria@ctk.church. Thanks! - Keri Allen, Blessing Coordinator
Please select which option applies to you:
*
I am a student filling this out for myself
I am a parent filling this out for my child/ dependent
I am an adult filling this out for myself
None of these apply
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Do you attend CTK?
*
Yes
No
What event is this for?
*
Please Select
CTK Event
MSU March Madness
HSU Retreat
Go Camp
Other
If other, please specify.
Tell me a little bit about what's going on?
*
Submit
Should be Empty: