Middle School Summer Camp Scholarship Application

Middle School Summer Camp Scholarship Application

Directions: Please fill out the entire application by March 1. Late or incomplete applications may not be accepted.
Full Name of Teen*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Parent's Name*

First NameLast Name
Parent's E-mail*
example@example.com
Contact Phone Number
Format: (000) 000-0000.
Current Grade*
YESNO
EDGEFamily Faith NightGuys or Girls Bible StudyThe ClimbVolunteeringI'm new!
YESNO
1/4 Scholarship ($165)1/2 Scholarship ($325)3/4 Scholarship ($495)
Please explain your need for this scholarship below (750 Word Limit)*

0/750
Should be Empty: