Scholarship Application


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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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