Scholarship Request for Kirk Youth trips
NOTE: This form MUST be submitted by February 1 for any summer trips. For other retreats, the form should accompany your registration form by the assigned deadline.

Scholarships are available for any youth who may not be able to attend a retreat or conference due to expense. If you are requesting a scholarship of less than $150, you are requested to complete THREE (3) service hours at the Kirk. If you are requesting a scholarship of more than $150, you are requested to complete SIX (6) service hours at the Kirk. These hours may be completed through KOALA tutoring, worship leadership, childcare during worship, Rise Against Hunger, Family Promise, or any other service opportunity at the Kirk. Contact Pastor Jordan if you have any questions.
Name
Your answer
Phone number
Your answer
Email
Your answer
Name of youth you are requesting a scholarship for
Your answer
Which trip are you requesting a scholarship for?
Do you need a full or partial scholarship?
If you are requesting a partial scholarship, how much do you need?
Your answer
Do you agree to complete THREE (3) service hours for scholarships amounting to less than $150 or SIX (6) service hours for scholarships amounting to more than $150?
Is there anything else that Pastor Jordan should know?
Your answer
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