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Men's Retreat | Scholarship Request
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Personal Information
Applicant First Name
Applicant First Name is required.
Applicant's Last Name
Applicant's Last Name is required.
Email
Email address is not valid
Email is required.
Mobile Phone
Mobile Phone is required.
Applicant's Birthday
Applicant's Birthday is required.
Campus
Amigos
Eastvale
Orange
Tustin
Yorba Linda
Campus is required.
How long have you been attending Friends Church?
What ministry or ministries are you currently involved in?
What ministry or ministries are you currently involved in? is required.
Are you a Foster/Adopt or Single Parent Family supported by our Loving families Program?
Yes
No
Are you a Foster/Adopt or Single Parent Family supported by our Loving families Program? is required.
Financially, how much are you able to pay toward the total cost of the event? If you need further assistance please contact your ministry Director for discussion.
I can pay 75%
I can pay 50%
Other
Financially, how much are you able to pay toward the total cost of the event? If you need further assistance please contact your ministry Director for discussion. is required.
Has the applicant received a scholarship from Friends Church in the last five years?
Yes
No
Has the applicant received a scholarship from Friends Church in the last five years? is required.
Is there anything that you would like us to know in considering your request?
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