Scholarship Form

scholarship form

Please complete all fields as best as you can. A red asterisk (*) means that these fields are required. If you are not affiliated with a church, you may leave those portions blank. If you are anticipating any scholarship or financial help from your church, please include the corresponding information.

contact information

* Indicates required field

Camper's Name *

First

Last

Parent/Guardian Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Church and City (no abbreviations please) *

Pastor's Name *

Church's Phone Number *

Pastor's Email *

camp program

First Choice *

First Choice Week # *

First Choice Dates *

Second Choice *

Second Choice Week # *

Second Choice Dates *

scholarship information

Does your church offer scholarships? *

Yes No

If yes, what amount? *

What amount of scholarship are you requesting? *

How much will you be able to pay for this week of camp? *

Parent/Guardian Online Signature *

To complete and submit this form, please click the white submit button below.

It is our goal that no child or adult misses out on coming to camp based on financial need or hardship.
This will be sent to our Camp Registrar, Steph Holme, and Executive Director, Travis Aufderheide, who will review this shortly. GLLM will send a confirmation email or letter to you upon processing your scholarship request. They will be in contact as soon as possible, but if you have any questions, feel free to contact Steph at 320-796-2181 or sholme@gllm.org.

Submit