2024 Summer Mountain Project Application

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Campus Outreach Central Illinois Website: www.cocentralil.org
Summer Mountain Project Website: www.cocentralil.org/smp
Campus Outreach Global Website: www.campusoutreach.org

Campus Outreach Central Illinois Office: CAMPUS OUTREACH
8607 IL-91
PEORIA, IL 616153

PLEASE READ THE FOLLOWING BEFORE CONTINUING!

Your application fee must be included with your application or it will not be considered for acceptance. You can pay the fee by following this link: https://gracepres.ccbchurch.com/goto/forms/813/responses/new

Submit your application by:

• March 4, 2024 | Your Application Fee is $7.00

• March 25, 2024 | Your Application Fee is $15.00

After paying your application fee, don't forget to come back to this page to submit your SMP Application!

First Name *

Last Name *

Suffix

School *

Bradley University

Eastern Illinois University

Illinois State University

Illinois Wesleyan University

ITESO University

Olivet Nazarene University

Western Michigan University

Other:

Gender *

Ethnicity *

Black or African-American

Asian or Asian-American

Hispanic or Latino

American Indian or Alaskan Native

Native Hawaiian or Pacific Islander

White

Multiracial

Year in School

Freshman

Sophomore

Junior

Senior

Clear selection

Cell Phone Number *

Email Address *

Date of Birth *

YYYY

Age *

Clear form

Never submit passwords through Google Forms.

This form was created inside of Campus Outreach Ministries. Report Abuse

Forms