Scholarship Application

Scholarship Application

Please complete the below form to apply to be consider for a camper scholarship.
Camper Name*

First NameLast Name
Grade In Fall*
Camper's Date of Birth*
Camper Gender*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Parent/Guardian Name*

First NameLast Name
Home Number

Area CodePhone Number
Cellular Number

Area CodePhone Number
Work Number

Area CodePhone Number
Church Name
Church Phone (If Applicable)

Area CodePhone Number
Pastor's Name
What program are you seeking a scholarship for?*

Teen Survival CampScience & Creation CampJR Survival CampSwitchback20OnTrack CampOther
Our scholarship programs are on a limited basis as funds become available from private donations. We understand that some campers need more financial help than others. Please choose below whether you are requesting a partial or full tuition scholarship. Please note that if a partial scholarship is all that you need, this allows more funds to be availabe for other campers in similar need.
What Scholarship amount are you seeking?*

25% Scholarship50% Scholarship75% Scholarship100% ScholarshipOther
What Scholarship fund do you prefer?*

The McClain Scholarship FundThe Ann Folkmann Memorial FundEither fund, I do not have a preference.Other
Please briefly describe your situation and why you are requesting a scholarship.*
Please briefly describe why you would like to send your camper to The Wilderness Christian Camp .*
Other comments or information.
TERMS:
- I understand that this application is not a guarentee of a scholarship and will be reviewed and can be accepted or rejected for any reason deemed suitable by the officiating agent or staff.
- I affirm that all of the above given information is true and accurate to the best of my knowledge.
- I understand that I may be contacted by phone or e-mail by an agent or staff member from The Wilderness Christian Camp.
Should be Empty: