Scholarship Application 2023
Fill this out to request a scholarship for a camper who wishes to attend Camp Northward.
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Camper First Name
Camper Last Name
Camper Date of Birth
MM
/
DD
/
YYYY
Address
City
State
Zip Code
Parent/Guardian First Name
Parent/Guardian Last Name
Phone Number
Cell Phone
Email
Confirm Email
Number of Children in the Family
Home Church
Other Church Name (Please include phone number, address, and e-mail if available):
First Time Camper?
Reason for Scholarship Request
Name of Person Requesting Scholarship
Relationship to Camper
Session Camper Would Like To Attend
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Church You Have Contacted For Assistance
Other Church Name (Please include phone number, address, and e-mail if available):
Minister's Name
What Amount Of Tuition Will The Church Pay?
For the camper: why would you like to attend a camp session at Camp Northward this summer?
I understand that Northward Christian Assembly Inc. (A.K.A. Camp Northward) does not guarantee scholarship funds *
Required
I authorize the minister named above to discuss with Camp Northward this scholarship application and the information contained therein. *
Required
I verify to the best of my knowledge that the information in this application is the correct and most current information. *
Required
By submitting this form, I give Camp Northward the right to share my contact information with supporting churches near me. And I further agree that said churches may contact me. *
Required
I agree that awarded scholarship funds are subject to the completion of 1 hour of community service by the named camper on this application before their session of camp (A form will be provided for camper and community organization to be filled out and submitted no later than 1 week prior to camp session). *
Required
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