CTO Illinois Jason Smitley Memorial Scholarship Program
Please complete this financial aid form to apply for Program Scholarships. Complete one form per household. If you have any questions, please contact Eric St. Pierre 217-480-2327 or email estpierre@teamcto.org. We will be in contact regarding program scholarship fund availability.
Parent or Guardian First Name *
Your answer
Parent or Guardian Last Name *
Your answer
Youth participant name(s) *
Please provide all names of the kids in the household that want to participate in CTO activities
Your answer
Mailing Address *
Your answer
City *
Your answer
State *
Your answer
ZIP *
Your answer
Home Phone
Your answer
Cell Phone
Your answer
Email Address *
Your answer
Local CTO Chapter *
Please provide the name of your local CTO Chapter
Your answer
CTO Activity *
What CTO events are you requesting financial assistance? For example summer camp, muzzle loader deer hunt, fishing outing, etc)
Your answer
How much can you afford? *
Please provide an amount that you can afford to pay towards the event fee
Your answer
Financial Assistance Needed *
How much financial assistance does your child need?
Your answer
Fundraising *
Would you be willing to help with future CTO Fundraising efforts?
Required
Total Household Size *
What are the total number of people living in the household, include adults and kids
Your answer
Number of dependents *
Include number of dependents under age 18
Your answer
Status *
Military Service *
Are your or anyone in your household currently active military?
Household Annual Gross Income *
Please include ALL income sources (employment, unemployment, child support, social security, etc)
Your answer
Involvement in CTO *
Please tell us why you would like to get your child(ren) involved with Cross Trail Outfitters
Your answer
Special Circumstances
Are there any specific circumstances that we should be aware of in considering your request?
Your answer
Electronic Signature *
It is our desire to be good stewards of the resources God has entrusted to us. We ask you to please sign this application stating you have a true financial hardship that would prevent your child (children) from attending or participating in CTO without financial assistance. Type your full name to sign
Your answer
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