CWAI 2007 — Scholarship Request
PLEASE PRINT PAGE, FILL OUT AND RETURN THIS FORM WITHIN 1 WEEK OF RECEIVING IT.
Scholarship dollars are limited and are awarded on a need basis.
SCHOLARSHIP DEADLINE IS MAY 1st.

Date:
Student Name:
Parents Name:
Total Cost of CWAI 2007:
Price Break Deadlines
  • If paid before April 1 – $330
  • If paid before June 1 – $345
  • If paid AFTER June 1 – $360
 
a.
Amount paid to date:
 
b.
Additional amount that family will be able to contribute by first day of camp — July 22, 2007:
  
c.

Other Scholarships:
Have you applied for the Impact2818 scholarship?

If so, How much were you awarded?
Circle one

yes | no
 
d.

Earning Opportunities:
Should you choose to participate, we estimate earnings from the following fundraiser.

Pizza Hut Card Fundraiser — $50.....(10 cards sold)
e.
•–•–•–•–•–•–•–•–•–•–•–•–•–•–•–•–•–•–•–•–•–•–•–•–•–•–•–•–•–•–•–•–•–•–•–•–•–•–•–•–•–•–•–•–•–•–•–•–
Total of lines “b”, “c”,“d” and “e”
  
f.
Amount of assistance needed
 (subtract line “f” from line “a”) 		 
Parents Signature:

Thanks for sharing your need with us. It is our desire to assist every student who needs help to attend camp. You will receive a scholarship reward notification within 2 weeks of returning this form to WCC. Thanks!

If you have not received notice, or you wish to discuss this matter further, please contact Jen Stewart at 574.268.0188 x155 or e-mail her at jstewart@wccconnect.com.

WARSAW COMMUNITY CHURCH
103 Enterprise Drive • Warsaw, IN 46580
TEL: (574) 268-0188 • FAX: (574) 268-0199
Email: wcc@wccconnect.com