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JH Summer Opportunities Scholarship Application
**Maximum amount given is $250.
Questions? Email Kristin Sauerbrei at
kristin.sauerbrei@naz.org
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* Indicates required question
Student Name:
*
Your answer
Parent/Guardian Name:
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Your answer
Student Email:
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Your answer
Parent/Guardian Email:
*
Your answer
Student Cell Phone:
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Your answer
Parent/Guardian Cell Phone:
*
Your answer
School:
*
Your answer
Grade:
*
Your answer
Home Church:
*
Your answer
Which summer opportunity are you most interested in?
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TeenServe // Pine Island, Minnesota // July 7-13 //
http://www.teenserve.org/2019-location-two-pine-island-minnesota/
Riverside Bible Camp // Story City, IA // Week of your choice //
www.riversidelbc.org
Caravan - BIGhouse Trip (9th graders only) // Florida & Tennessee // July 20-28 //
http://www.cedarvalleystudents.org/caravan
Other:
What is the total cost of this opportunity?
Your answer
Why are you interested in this summer opportunity?
*
Your answer
How will this opportunity help you grow in your faith?
Your answer
Have you received scholarship assistance from us in the past?
Yes
No
Clear selection
If yes, which trip?
Your answer
If yes, amount received?
Your answer
Please describe the circumstances surrounding your need for financial assistance:
*
Your answer
Will a 15% scholarship meet your financial needs?
*
Yes
No
If not, from a financial standpoint, how much do you think you can contribute to this summer opportunity?
*
Your answer
Any other information that would be helpful for us to know?
Your answer
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