TIC LONG SCHOLARSHIP FORM
Tic Long has built a legacy of impacting youth workers. He has personally touched so many with his gifts. He made an impact through Youth Specialties serving as everything from janitor to National Youth Workers Convention (NYWC) Program Director from 1977 - 2011.

The Tic Long Scholarship serves to continue to legacy of Tic Long as an inspiration and resource to build up youth workers. Through the Scholarship Fund, youth workers are able to experience transformative life and ministry development through the National Youth Workers Convention. If you are in need of assistance through the Tic Long Scholarship, please fill out the following form and our Customer Operations Lead (Tim Balow) will be in touch with you to discuss how the Tic Long Scholarship Fund can help you get to NYWC this year.

If you have any questions regarding this form, please email Tim at ys@youthspecialties.com.

Name *
First and last name
Your answer
Church and/or Organization (w/ full address) *
Your answer
Email *
Your answer
Phone number *
Your answer
What type of scholarship is being requested? *
Required
How many tickets would you need scholarships for? *
Your answer
Tell us about your organization or ministry. *
Your answer
Who will use this scholarship and what role(s) do they have in your organization? *
Your answer
What do you hope that the scholarship recipients will get out of NYWC? *
Your answer
How did you find out about the National Youth Workers Convention? What have you heard about the convention itself? *
Your answer
Why are you in need of financial support? *
Your answer
Any additional information you'd like to add to your request?
Your answer
Submit
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