High School Financial Aid Request Form REGENERATION 2015 (July 20—24) Deadline: June 14 This application must be completed and submitted on or before June 14. You will be contacted with information about your request in the week following the scholarship application deadline. Please note: Your scholarship request does not hold your space for the camp. Because space is limited, it is recommended that you submit your $75 deposit and medical release form. The deposit will be refunded if you must cancel your registration for financial purposes only.
Name: ____________________________________________ Phone: _______________________________________ Email Address: ____________________________________________________________________________________ (Please print clearly. An email will be sent to you confirming the scholarship amount you will receive.)
Address: ___________________________________________________________________________________________ City: _____________________________________________________________ State: __________ Zip: ___________ Small Group Leader: ________________________________ School: _______________________ Grade: ______ Amount Requested: $ _________ *Please note: Because of limited funds, half scholarships are the maximum available.
Describe your involvement in Oneighty, how are you serving in our church? (eg. Nursery, Discovery Club, CHF, Pacifica): ________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ Explain your reason for requesting a scholarship: ________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ ________________________________________________________________________________________________________
( Please Turn Over )
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What have you personally been doing to save money for camp?: _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ Why do you think giving you a scholarship is good stewardship of the church’s resources? _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________
You must have your parent / guardian and your small group leader sign “I have talked with this student and he / she does have a genuine need for a camp scholarship, and judging by their involvement in church is a qualified recipient.”
X _____________________________________________ Parent / Guardian (please print)
X _____________________________________________ Small Group Leader (signature)
X _____________________________________________ Parent / Guardian (Signature)
X _____________________________________________ Shepherd (Signature)
Office Use Only Scholarship Amount: $ ________________________ Balance Due: $ _________________________ Contacted: ______________________________