Scholarship Request Form

Name of Participant

Event/Camp Requesting Scholarship for

Cost of Event/Camp

Participant’s Contribution (Please enter the amount your family is able to contribute)

Scholarship amount requested (up to $500)

Personal testimony (Required for Stanger Scholarship Request)

Goal(s) you wish to accomplish through assistance from the Cindy Stanger Memorial Fund (for memorial fund request only)

Contact Information

Participant/Parent/Guardian Name

Phone

This address will receive a confirmation email

Church Affiliation

Address to send scholarship money if NOT a Thornapple event or camp.

Name of person/organization/business

Address

Phone

Contact Person

Who should we make the check payable to?

Description

Scholarship Funds Provided through the Cindy Stanger Memorial Fund
Funds to be used in preparation for missions (domestic or international) or organized Christian activity (i.e. camp, student church trip)
Applicant must be:
- Youth – middle school, high school, college, graduate school, seminary (ages 13-30)
- Member/regular attender or son/daughter of member/attender of Thornapple

Form will be sent to Lynne McLaughlin and kept confidential.

Scholarship Request Form

Description

Please Fix the Following