Scholarship Application

Scholarship applications are for regular attending Heirborne students who are in NEED of financial assistance in order to attend an Heirborne event. It is very important to us to maximize every scholarship dollar and be good stewards of the funds that are donated. We ask that you only request as much scholarship support as you absolutely require so that we can meet every need effectively. If you are applying for more than 1 student within the same household, please list all those students on ONE application.

Contact us here if you have any questions.

Which event scholarship are you applying for?

Student Informations

Name of Student 1

First Name

Last Name

Grade

Name of Student 2

First Name

Last Name

Grade

Name of Student 3

First Name

Last Name

Grade

Name of Student 4

First Name

Last Name

Grade

Name of Student 5

First Name

Last Name

Grade

How often do you attend Heirborne Youth per month?

1-2

3-5

Why do you want to attend this event?

What do you love most about Heirborne?

Parent/Guardian Information

Parent/Guardian Contact

This should be the person we should contact regarding questions and scholarship decisions.

First Name

Last Name

Cell Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Financial Information

How many people provide income that supports the household?

What is the total amount PER student your family is able to contribute towards this retreat?

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.

Child 1

Child 2

Child 3

Child 4

Child 5

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.

I understand

Any additional comment that would help us to assess your need.

Scholarship Application

LOCATIONS