Scholarship Application

SCHOLARSHIP APPLICATION FORM

The purpose of this form is to request scholarships for upcoming Rooted Student Ministry Events/Trips.

* Indicates required field

Name of Student: *

First

Last

Age: *

Grade: *

Address *

Phone Number: *

Event Name (Camp, TCTC, etc.) *

Cost of Trip: *

Amount student/family can pay for trip: *

Amount of Scholarship Requested: *

Parent/Guardian Signature *

Please submit this form at least three weeks before event/trip. Scholarship form will be reviewed and returned after receiving scholarship application.

Please know that we want every student in Rooted Student Ministry to be a part of our events and activities that help grow them closer to Jesus, and because of that we will do everything we can financially to support your student!

Submit

SCHOLARSHIP APPLICATION FORM

The purpose of this form is to request scholarships for upcoming Rooted Student Ministry Events/Trips.

7380 W MT TABOR RD.​SALEM, IN 47167

7380 W MT TABOR RD.
SALEM, IN 47167