Mission Scholarship Form

Studen Name

Email Address

Age

Grade

Gender

Male Female

Church Name

Church Phone

Church Address

City

State

Zip Code

Youth Pastor's Name

Youth Pastors Phone Number

Youth Pastor's Email Address

Mission Trip Start Date

Mission Trip End Date

Mission Trip Location

Mission Trip Cost

Personal Testimony

Reference letter from your Youth Pastor.

Reference letter from a Mentor/Leader in your life (Not a family member)

Describe your current relationship with God

Why do you feel called to this particular mission trip?

What other ways are you raising money for this trip?

What years have you attended Super Summer?

Application Submitted