SALT 2019 Scholarship Form
***This form is now closed. Contact Liane (408) 489-7407 if you still need to sign up***

Please fill this out and we will get back to you during winter break!
Remember to register for SALT by December 27 so that you ensure your early-bird price ($149) for West Coast Chi Alpha SALT. Includes 6 meals, conference costs, hotel and resources

When you register, you can just pay the $50 deposit first and have the rest be charged on January 6th.
https://wcxa.regfox.com/salt-2019

This scholarship form is due by 12/25!

Name *
Your answer
Phone Number (xxx) xxx - xxxx *
Your answer
Email *
Your answer
What is the maximum amount you can contribute towards your registration (total of $149)? *
Your answer
Are you able to help out on a Friday afternoon during the Winter Quarter with various needs the ministry has? (I.e. helping set up for the Valentine's Day Party OR cleaning the DCF house...etc.) *
Please go to wcxa.com to register right now! We will not be able to give you a scholarship if you are not registered. (We are asking people at the very least to contribute their deposit amount of $50). Do you need help with that $50? *
Any other info/questions you want to share with us?
Your answer
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