Middle School Camp Scholarship Request

Please enter your name and contact details and then complete the Student Information section below. If you are applying for a scholarship for multiple students, the form will need to be completed for each student.

*First Name

*Last Name

*Email Address

*Phone Number

*Address Line 1

Address Line 2

*City

*State/Province/Region

*Zip/Postal Code

*Your Relationship to Student:

*Why are you requesting a scholarship for camp? Please list your reason for the need.

*Student Name:

*Student's Birthdate:

*What campus does your student normally attend for GSM?

GrangerElkhart

*What grade will the camper complete this spring?

5th Grade6th Grade7th Grade8th Grade

Submit Form