Template Entry

Scholarship Request Form

Questions? Email Brenna Homewood at bhomewood@orchardhillchurch.org.

Students First Name

Students Last Name

Students Email

Students Mobile Phone

Students School

Students Grade

Home Church

Why are you interested in being a part of Ski & Shop?

Have you received scholarship assistance from us in the past?

Yes No

If yes, which trip?

If yes, amount received?

Please describe the circumstances surrounding your need for financial assistance:

Will a 25% scholarship meet your financial needs?

Yes No

If not, from a financial standpoint, how much do you think you can contribute for Ski & Shop?

If money was not an issue, which "add-on" would you be most excited about doing?

Ski/Snowboard // Renting Equipment Ski/Snowboard // Owns Equipment Fun Lab

Any other Information that would be helpful for us to know?

Parent/Guardian Name

Parent/Guardian Email

Parent/Guardian Mobile Phone

Submit Application

CHAOS is made possible by volunteers who help us each week. We'd love for you to join our team!