JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Youth Mission Trip Scholarship Application
Fill out this form if you are in need of financial assistance for this summer’s mission trip. This application will go directly to Checkrow’s Missions Committee for consideration.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Trip: Indianapolis, Indiana - 2023
Total trip cost: $500
Full Name
*
Your answer
I have
personally contributed
this amount to my total trip cost
*
Your answer
With other donations, the total amount I have
left to raise
is
*
Your answer
Below are the ways that
I have raised or attempted to raise
funds for this trip
*
Personal savings
Hired work (babysitting, physical labor, ongoing job)
Support letters
Other donations
Other:
Required
I understand that the Missions Committee is permitted to give up to 20% of my total trip cost on an
as-needed
basis.
With that, I would like to request a scholarship amount of:
*
Your answer
Please describe any other circumstances, be that financial or physical, that have kept you from being able to raise funds for this trip (this section is not required).
Your answer
Please add anything else you would like the Missions Committee to know when reviewing this application (this section not required).
Your answer
My parent/guardian has looked at this application and is in agreement with all of the details that have been entered.
*
Yes
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
Forms
