Presbyterian Mo-Ranch Assembly Youth Conference Attendee Scholarship Application This scholarship may be applied to youth conferences. Applications must be submitted no later than 30 days prior to the conference you would like to attend. Applications received within 30 days of the conference beginning will not be considered. We encourage applicants to seek assistance from other sources such as home church, Presbytery, PC(USA), or the Synod of the Sun.Application Date:* MM slash DD slash YYYY I am applying on behalf of:*Birthday* MM slash DD slash YYYY Grade level for the next school year*I am applying for a scholarship to attend:*Junior High JubileeJunior High Jubilee IIMo-TLC, Teen Leadership ConferenceMulti-Cultural Youth ConferenceYouth CelebrationParent/Guardian Name:* First Last Address:* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone:*Alternate Phone:Email:* Home Church:Home Church City:Amount of scholarship requested:*Total cost of event:*How much you are contributing?*How much your church or faith community is contributing?*Please explain why you are applying for a scholarship and how this event will benefit you?*Name*By typing your name, you are signing this application electronically. You agree your electronic signature is the legal equivalent of your manual signature on this application.Email*Acknowledgment*By providing my legal name, email address, and electronic signature above, I confirm that I have read, or had read to me, and understand the above and acknowledge and accept the above. Confirm CAPTCHACommentsThis field is for validation purposes and should be left unchanged.
