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2024 Quake Scholarship Application
Do not register for Quake if you have applied for a scholarship. We cannot refund any students already registered for Quake.
We will notify both the applicant and their youth leader if the application has been approved.
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* Indicates required question
Applicant Name
*
Your answer
What Quake are You Attending?
*
Cincinnati
Chicago
Wichita
Pittsburgh
Wisconsin Dells
Minneapolis
Applicant Grade
*
Middle School
High School
Applicant Address
*
Your answer
Primary Phone
*
Your answer
Applicant Email
*
Your answer
Church Name
*
Your answer
Denomination
*
Your answer
Church Address
*
Your answer
Youth Leader Name
*
Your answer
Youth Leader Phone
Your answer
Youth Leader Email
*
Your answer
Describe what receiving this scholarship would mean to you
*
Your answer
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