Central VA Young Life Summer Camp Scholarship Request

Welcome to the Central Virginia Young Life Camp Scholarship Request Form
Here are some improtant things you need to do and/or know before completing this form:

1) You MUST be Registered for Summer Camp with a minimum deposit.

2) Scholarships are awarded on a case-by-case basis based on need, availability, and the information provided.

3) Scholarship funds are limited, and submitting a request does not guarantee that you will receive assistance.

4) Scholarships rarely cover the full cost of camp. Families should expect to contribute something.

5) Students may be asked to participate in fundraising opportunities to help offset camp costs.

6) Scholarship amounts are confidential and will only be shared with necessary Young Life staff.

7) Priority will be given to FIRST-TIME summer campers.

8) All camp balances must be paid in full by the stated deadline or risk loss of scholarship.

1. Student Information

Please fill out the below information.
Student Name

First NameMiddle Initial Last Name
Student Gender
Birth Date

MonthDayYear
Graduation Year
School
E-mail
example@example.com
Phone Number
Format: 0000-00000.
Address

Street Address

Apt/Suite #

CityState

Postal / Zip CodeCountry
Name of Young Life Leader

2. Parent Information

Please fill out the below information.
Parent Name

First NameMiddle Initial Last Name
Parent E-mail
example@example.com
Parent Phone Number
Format: 0000-00000.
Parent Address

Street Address

Apt/Suite #

CityState

Postal / Zip CodeCountry

2. Questionare

Please answer the questions to the best of your ability.
Have you been to Young Life Summer Camp before?
Describe to us why you're requesting a scholarship:
Information is Confidential.
How much are you requesting?

Submitting!
Thank you SO much for taking the time to complete the Central Virginia Young Life Camp Scholarship Request Form.
Your request will be reviewed. We will touch base with you as soon as we can.

If you're sure everything is filled out correctly, Click Submit!
Should be Empty: