Retreat Scholarship Application

IT IS OUR DESIRE FOR YOUR STUDENTS TO EXPERIENCE THE FUN AND SPIRITUAL GROWTH THAT OUR RETREATS OFFER. WE ALSO DO NOT WANT THE COST TO BE A

PROHIBITIVE FACTOR. PLEASE FILL OUT THE FORM BELOW TO APPLY FOR A PARTIAL SCHOLARSHIP, AND WE WILL REACH OUT TO YOU TO DISCUSS NEXT STEPS.

First

Last

First

Last

Email

Phone Number

Which event will your child be attending?

How much are you able to contribute (including required $30 deposit)?

How do you believe your student will benefit from attending this event?

Do you regularly attend CBCNLR?
Yes
No

If no, what church do you attend (if any)?

Does your student regulary attend Central Students and church related functions?
Yes
No

Please share any special financial or other circumstances we should be aware of in considering your request:

Your typed first and last name will serve as your signature.