Scholarship Application

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High School @ ECLC

This form is completely confidential. Information provided will be seen only by the High School Youth Minister, Pastors, and Business Administrator. We cannot guarantee the amount of money you will receive.

Deadlines:
Pilgrimage, El Salvador - April 9th

Name *

Event Title *

Pilgrimage 2017: El Salvador

Other:

Grade *

Currently in 9th Grade (or have completed 8th)

Currently in 10th Grade (or have completed 9th)

Currently in 11th Grade (or have completed 10th)

Currently in 12th Grade (or have completed 11th)

Currently in the summer after graduation (or you will have graduated by the time of the event)

Other:

Type of Scholarship Requested *

Subsidy (10%-30% of cost)

Partial (50% of cost)

Full (apx. 95% of cost)

Other:

Any other comments about the amount of scholarship funds requested?

Student: Why do you wish to attend this event? *

Do you have a sibling(s) attending this event? *

Yes

Maybe

Is this your first time attending this event? (Pilgrimage, Do Justice! Retreat, summer day-trip, etc.) *

Yes

Parent: To help us better understand your situation, please explain the need for financial help. *

By submitting this form you are....

1) confirming your commitment to the event your possible scholarship is applied towards. Our ability to continue to provide the most amount of scholarship money to those in need hinges in part on our confidence of participation by those applying.

2) providing an electronic signature to signify that all information on this form was given to the best of your ability and is not misleading.

3) confirming your understanding that no scholarship amount can be guaranteed.

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