Application Entry

Scholarship Request Form

Questions? Click to email your CHAOS Campus Staff Leader:

Student First Name

Student Last Name

If student does not have an email or mobile number, please leave blank.

Student Email

Student Mobile Phone

Student School

Student Grade

Home Church

CHAOS Program

Why are you interested in being 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 Bowling Tubing

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

Parent/Guardian Name

Parent/Guardian Email

Parent/Guardian Mobile Phone

Submit Application