Summer Camp Scholarship Application

Summer Camp Scholarship

First Name*

Last Name*

Best Phone Number to reach you*

Email*

Relationship To Camper*

Are you a Single Parent Household?*

Do you attend Fellowship Church? If so, which campus?*

Are you interested in serving for a week or weekend at camp?*

Are you a member of Fellowship Church?*

Do you serve in a ministry at Fellowship Church*

Please list which ministry you serve in.

Camper First Name*

Camper Last Name*

Gender of Camper*

Grade Entering Fall of 2018*

Which week of camp would you like to attend?*

Please list any other summer camps or activities your student will participate in this summer?

Has your student attended FC Camp at Allaso Ranch before?*

Has your student received a camp scholarship before?*

Why does your student want to go to camp?*

Total Monthly Income - please include all monthly income amounts (employment, social security, child support, public assistance, etc.)*

Total Monthly Expenses - please include all monthly expenses (housing/rent, childcare, car payments, etc.): *

Number of adults in household*

Number of children in household*

What amount can you contribute to camp tuition?*

Please describe your current financial situation in as much detail as possible.*

By providing your electronic signature you acknowledge you have read and agree to the above statement.*