NE IA FCA Camp Scholarship Form

Pella Sports Camp Scholarship Application
Personal Information

Please fill out this section completely.
Name

First NameLast Name
Date of Birth

DayMonthYear
Address

Street Address

Street Address Line 2

CityState

Zip Code
Have you regularly attended your school's FCA huddle this year?

YesNo
Are you on the FCA Leadership Team at your school?

YesNo
How long have you been a member of your school's FCA huddle?
Have you attended an FCA sponsored camp before?

YesNo
If Yes, which camps and how many years?
Share a little about your experience with FCA. How has FCA huddles or camps affected your walk with Christ?
Other Circumstances

In the space below please describe any circumstances (past, present, or future) that you feel increase your qualification and/or need for a camp scholarship (e.g., family circumstances, academic standing, ministry or other responsibilities; etc.).
Reason or Circumstance:
Signatures
I affirm that the information in this form is true and accurate according to my knowledge.
Student Signature
Date

DayMonthYear
To be signed by your guardian/parent.
Guardian/Parent Signature
Email
example@example.com
Should be Empty:

Pella Sports Camp Scholarship Application