Scholarship Application

At Church at The Mill, we don’t want a lack of funds to keep you from attending an event. Please complete the following application, as this helps us determine your need and allows for us to be good stewards with our limited financial resources. Typically, we can provide some form of scholarship on the event. Unfortunately, we are limited in the amount of scholarships we are able to offer. All information is confidential and we will make every effort to help you.

Contact Information

Student's Name

First Name Last Name

Parent's Name

First Name Last Name

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Email

example@example.com

Phone Number

Area Code Phone Number

School

Grade

Age

Scholarship Information

Event for which you are requesting scholarship:

Are there any special circumstances in your family that have resulted in your need forfinancial assistance (loss of job, illnesses, etc.)?

How long have you attended Church at The Mill?

Are you a member?

YES NO

How much will you be able to pay for this event?

Are you involved in any other ministries at Church at The Mill?

Would you be willing to make monthly payments after the event/trip?

YES NO

If yes, how much do you think you could afford on a monthly basis?

Would you be willing to do some work (e.g. office work) for a church member to “pay” for your scholarship?

YES NO

Sign

Clear

Date