XA Beach Week - Scholarship Application

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Welcome to the RVAXA Scholarship Application form. Here, you will apply for a scholarship for the upcoming Beach Week. Just a note, we're prioritizing new students and those who have never been on a retreat with Chi Alpha. We offer a maximum $175 scholarship and to be considered, you will need to fill out the form below. You will be responsible for the other $200 for Beach Week. Deadline is April 14, 2023.

Note: We will do our best to grant you a scholarship, but filling out this form does NOT guarantee scholarship funding. We will be prompt in letting you know if you have been approved for a scholarship.

Last Name *

First Name *

Phone Number *

Email address you actually use *

University/ College *

Gender *

Male

Female

Is this your first Chi Alpha retreat? *

Yes

Are you a Small Group Leader? *

Yes

Who are your small group leaders? *

What is your academic classification? *

Freshman

Sophomore

Junior

Senior

Graduate Student

How long have you been involved with Chi Alpha Campus Ministries? *

Do you have a car? *

Yes

Are you willing to drive people to the retreat? *

Yes

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