2023 Student Ministries camp Scholarship Application Student Name(s) (First and Last) * Student 2022-2023 School Year Grade Level(s) * Student Phone (if applicable) (###) ### #### Parent/Legal Guardian Name * Parent/legal Guardian Phone Number * (###) ### #### Parent /Legal Guardian Email * Home Address Address 1 Address 2 City State/Province Zip/Postal Code Country Does your family/student attend Open Door? * * Yes No What is the total number of students in the family attending Camp? * What would be the total cost of Student Ministries Camp for your family? * $ What amount will you be able to contribute to the total cost? * $ Please describe your family situation that has led to this request: * Thank you! Someone will let you know the status of your request soon. QuestionS? 602-242-4414
