APPLICATION FOR CAPERNAUM YOUNG LIFE
Please complete the information below to apply for a scholarship to a week of Capernaum Young Life camp in 2025.

Note: Capernaum students will receive a larger scholarship with the intention that half is awarded to the student and half awarded to the Capernaum buddy.
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Student first name: *
Student last name: *
Student email address: *
Who is completing this Young Life CAPERNAUM application? *
YL leader first name?
YL leader last name?
YL leader email address?
If you are a student, did you apply for a Luke Legacy Fund Scholarship last year (summer of 2024)? If you are a leader, did you apply on behalf of this student last year (summer of 2024)? *
Gender: *
Student Phone Number: *
Name of School: *
Name of Young Life Area: *
Name of Camp: *
Trip dates: *
How much does the camp trip cost? *
Have you (the student) been to a week of Young Life CAPERNAUM camp before? *
Who is your Young Life Leader? *
How did you get involved with Young Life? *
Please share one or two sentences that describe your current perspective about God. *
What is your current plan to pay for your camp trip? *
Anything else you would like us to know?
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