Summer Camp Scholarship 2019
*If you have multiple students, please be sure to fill out one per student.
Student Information
Student Name
*
First Name
Last Name
Student Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Grade in Fall of 2019
*
7th
8th
9th
10th
11th
12th
Parent Information
Parent Name
*
First Name
Last Name
Parent Email
*
example@example.com
Phone Cell Number
*
-
Area Code
Phone Number
Marital Status
*
Married
Separated
Divorced
Single
Widowed
How long have you attended FBC Hayden?
*
Are you receiving assistance from any other source? (Family, SDI, Unemployment, other churches)
*
Yes
No
Are you currently employed?
*
Yes
No
Financial Information
Amount of assistance needed
*
What event(s) has occurred prompting your need for assistance?
*
I understand that filling our a scholarship form does not secure a spot for my student at Summer Camp and that camp has the potential to sell out while I am awaiting a response.
*
Yes
Thank you for filling this form out. Please know that our heart and our goal are to help as many families as possible. While we are working diligently behind the scenes to prepare for summer camp, please allow up to two weeks for us to get back to you.
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