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Trip Location and Dates:____________________
Application Date: ___________
Mission Trip Scholarship Application
Name of Applicant traveling on the Mission Trip: _____________________________________ Date of Birth: ____________________________ Phone: ________________________ Parent/Guardian (if under 18): __________________________ Phone:___________________ Address: ____________________________________________________________________ Email: _______________________________________________________ How long have you attended Williamsburg Community Chapel ? ____ How often do you attend? Are you:
☐
☐ Weekly ☐
a Church member
☐
Monthly
Regular Attendee
☐
Casual Attendee
Please give a brief overview of circumstances that make it difficult for you to cover the full cost of the trip. Check any that apply and write whatever explanation you feel comfortable providing:
___ Current income level doesn’t support the full cost of the trip
___ Single parent
___ Loss of job or cut in salary
___ I am hoping to take multiple family members on the trip and unable to cover the cost for all ___Other( examples: you must take unpaid vacation; unusual medical bills or other financial hardships.) ____________________________________________________________________________ ____________________________________________________________________________ _____________________________________________________________________ Dates of trip:______________________ Destination: ________________________________
Trip purpose:_________________________________________________________________
Please share your personal expectations for this trip. How do you hope to be used by God in this experience? ____________________________________________________________________________ ____________________________________________________________________________ _______________ _____________________________________________________________
Please share a bit as to what motivated you to pursue this trip. ____________________________________________________________________________
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Trip Location and Dates:____________________
Application Date: ___________
____________________________________________________________________________ ____________________________________________________________________________
Please describe any previous mission trips you have taken. ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________
Total cost of trip $___________ Have you paid the deposit? _______ How much? $__________
Portion of trip you are able to cover $________ Amount you are requesting $___________
Have you previously applied for a scholarship? _______ Did you receive funding? ___________ Have you sent out letters requesting support?________ What type of responses have you received_____________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________
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