Girl's Black Mountain Camp Scholarship Application

Application for scholarship funds for Girl’s Multi-Sport Camp at Black Mountain. Application will be forwarded to your local FCA staff for consideration.

Student's Name

Student's Email

Student's Home Phone Number

Student's Cell Phone Number

Parent's Name

Parent's Email

Parent's Home Phone Number

Parent's Cell Phone Number

Home Address

Name of School

School Level

Rising Grade

Sports

Current Church (if applicable)

Who is your area FCA Staff Person (not your campus Huddle Coach, but the FCA employee who represents your area. Check your area’s website if you are unsure).

FCA Staff Person

Are you involved in your campus FCA huddle?

Are you an FCA Huddle Officer/Leader?

What is the main reason for wanting to attend FCA Girl’s Multi-Sport Camp?

Have you ever attended an FCA Camp or Retreat?

Have you ever received an FCA scholarship before?

Girl’s Multi-Sport Camp tuition is $415/camper and $450/coach or adult. How much would you/your family be able to contribute to the camp tuition?

Contribution Amount

The following information is needed to determine financial need of scholarship applicants. If there are extenuating circumstances that have created financial hardship, please explain in the General Comments section below.

Parents combined gross income for last year (Please select appropriate range)

Is this a single parent home?

Is this a dual income home?

Number of children at home:

Number of children in college:

General comments:

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