XA Beach Week - Scholarship Application
Welcome to the RVAXA Scholarship Application form. Here, you will apply for a scholarship for the upcoming Beach Week. Just a note, we're prioritizing new students and those who have never been on a retreat with Chi Alpha. We offer a maximum $175 scholarship and to be considered, you will need to fill out the form below. You will be responsible for the other $200 for Beach Week. Deadline is April 14, 2023. 

Note: We will do our best to grant you a scholarship, but filling out this form does NOT guarantee scholarship funding. We will be prompt in letting you know if you have been approved for a scholarship.
Sign in to Google to save your progress. Learn more
Last Name *
First Name *
Phone Number *
Email address you actually use *
University/ College *
Gender *
Is this your first Chi Alpha retreat? *
Are you a Small Group Leader? *
Who are your small group leaders? *
What is your academic classification? *
How long have you been involved with Chi Alpha Campus Ministries? *
Do you have a car? *
Are you willing to drive people to the retreat? *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy