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Black Lake Scholarship Request
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Parent/Guardian Name
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Last Name
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Student Name
First Name
*
Last Name
*
What is your current involvement with {{ siteName }}?
What is your current involvement with the church?
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Your involvement is not a pre-requsite for assistance.
Have you received a scholarship before?
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Please state the reason(s) you feel need of aid:
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The total cost of this camp is
$540
.
I am asking for a scholarship in the amount of:
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$100 Scholarship
$200 Scholarship
Half Scholarship
Other Amount
Amount
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