Scholarship Request

Thank you for your interest in attending our conference.

Scholarship funds are available. Unfortunately, we do not have enough scholarship funds available to give full scholarships to everyone.

Student First Name *

Student Last Name *

Parent/Guardian Names *

Parent Email Address *

Address 1 *

City *

State *

Zip Code *

Cell Phone *

Please note that funds are limited and we want to work with your family to allow your student to attend, please make your best effort to pay what you can for your student to participate.

Please be honest when determining your financial need so that we can assist as many people as possible.

Scholarship Requested *

Help $25-75	Assistance $75-150
Full $250

In the box below, please explain your need for this scholarship in an essay of 250 words or less.

Once received, the Youth Ministry office will review your application and let you know how to proceed. Thank you!

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