Crossroads Scholarship Request - Crossroads Community Covenant Church

Phone number *

Is this application for a child/student under 18 years old? *

What event are you seeking a scholarship for? *

Softball (Crushers)

Thunder Retreat (Middle School)

Mud Retreat (High School)

Summer Camps

DNOW Weekend

Other

How much of the cost are you able to contribute towards the event? *

I understand that by filling out this request, it does not guarantee any/partial scholarship for an event. *

I understand that someone will contact me to inform me of the decision made and if there is any portion I am responsible for. *

Please add the date. *

Please type your name as a signature *

Must be the adult listed for anyone under 18 years old.