Sponsor Application Form

Student Sponsorship Application

Fill the form below to help us determine your need for sponsorship.
STUDENT PARTICIPANT INFORMATION
Name:

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Phone Number:
Format: (000) 000-0000.
Parent Contact #:
Format: (000) 000-0000.
E-mail Address:
example@example.com
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
DEADLINE

Must be returned in AT LEAST one month before registration deadline
QUESTIONS
Do you have an active relationship with Jesus?
Do you have an active devotional life?
If you answered "Yes", please explain:
Are you serving any capacity at CCC?
If you answered "Yes", please list which areas:
Are you able to pay for this trip yourself?
Do you commit to submit yourself to the leadership of CCC while on this trip? (PLEASE REVIEW HOVER TEXT)
Do you commit to sharing testimony, serving in church, and applying lessons learned on this trip after you return if asked?
Should be Empty:

Student Sponsorship Application