Journey Student Ministries Scholarship Request

Please complete the following application and submit for consideration.

Participant's Name (first & last)	*
Participant's Current Grade	*

Parent/Guardian Name	*
Parent Email Address	*
Parent Cell Phone	*
Home Phone	*

Scholarships are awarded based on availability and order in which they are received. Scholarship funds are limited to no more that 50% of registration cost. Upon completion we will notify you of the amount of scholarship available. Thank you!
Event scholarship will be used towards:	*
Amount of Scholarship Seeking:	*
Reason for Request of Scholarship:	*