XA Fall Retreat 2019 - Scholarship Application
Welcome to the RVAXA Scholarship Application form. Here, you will apply for a scholarship for the upcoming retreat. Just a note, we're prioritizing new students, and those who have never been on a retreat with this scholarship, following which we'll consider financial need. We offer a maximum of $50 scholarships and to be considered, you will need to fill out the form below. You will be responsible for the other $50 for Fall Retreat.

Note: We will do our best to grant you a scholarship, but filling out this form does NOT guarantee scholarship funding. We will be prompt in letting you know if you have been approved for a scholarship.
Last Name *
Your answer
First Name *
Your answer
Phone Number *
Your answer
Email address you actually use *
Your answer
University/ College *
Gender *
Is this your first Chi Alpha retreat? *
Are you a Small Group Leader? *
Who are your small group leaders? *
Your answer
What is your academic classification? *
How long have you been involved with Chi Alpha Campus Ministries? *
Your answer
Do you have a car? *
Are you willing to drive people to the retreat? *
Submit
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