Retreat Scholarship Application

Scholarship applications are for regular attending Heirborne students who are in need of financial assistance for an Heirborne event. If you are applying for more than 1 student within the same household, please list all those students on ONE application.

Please do not close out or refresh this page before submitting the application. We recommend typing longer responses in a separate document in case your application is lost due to internet loss or some other unexpected interruption.

Contact us here if you have any questions.

Student Informations
Name of Student 1 *
Name of Student 1
Name of Student 2
Name of Student 2
Name of Student 3
Name of Student 3
Name of Student 4
Name of Student 4
Name of Student 5
Name of Student 5
How often do you attend Heirborne Youth per month? *
Parent/Guardian Information
Parent/Guardian Contact *
Parent/Guardian Contact
This should be the person we should contact regarding questions and scholarship decisions.
Cell Phone *
Cell Phone
Address
Address
Financial Information
Total costs for your reference: Beach Retreat:$115, Fall Conference: $150
Of the total amount stated above, how much will your student(s) be able to contribute?
This number should be PER student if applying for more than one.
Please understand that financial assistance is not guaranteed and is decided on a case by case situation. The level of financial assistance is determined by need and available funds.