Phone Number *
Phone type Mobile Home Work Other
Grade *
Select… Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade 9th Grade 10th Grade 11th Grade 12th Grade
School *
Select… Argyle Elementary Clay Charter Academy Discovery Oaks Elementary Eagles View Academy First Coast Christian School Florida Virtual School Homeschool Oakleaf Village Elementary Plantation Oaks Elementary St Johns Classical Academy Trinity Christian Academy Wilkinson Elementary Baker County Middle School Clay Charter Academy Eagles View Academy First Coast Christian School Fletcher Middle School Florida Virtual School Green Cove Junior High Homeschool James Weldon Johnson Lake Asbury Junior Highschool Lake Shore Middle School Oakleaf Junior Highschool Orange Park Jr. High San Jose Prep St Johns Classical Academy Trinity Christian Academy Wilkinson Junior Highschool Baker County High School Douglas Anderson School of the Arts Eagles View Academy Ed White Highschool First Coast Christian School Florida Virtual School Homeschool Middleburg Highschool Oakleaf High School Orange Park Highschool Paxon School for Advance Studies Ridgeview Highschool San Jose Prep St Johns Classical Academy Trinity Christian Academy Westside Highschool University of Florida
Do you attend Elevate Youth Ministry nights on a regular basis? *
Select… YES NO
Which Location do you regularly attend? *
Select… ARLINGTON LOCATION FLEMING ISLAND LOCATION MACCLENNY LOCATION OAKLEAF LOCATION I DO NOT ATTEND ELEVATE LIFE CHURCH
How much are you able to pay? *
Please note that we don't have full (100%) scholarships. Requests for 100% scholarships will be denied. Please include a specific amount. The total price of the Youth Conference is $425.00.
Please explain why you are applying for a scholarship, and include any specific information you feel would be helpful to us. *
If you would like to set up a payment plan, please explain that plan below:
(NOTE: BY SELECTING YES, YOU ARE PROVIDING YOUR ELECTRONIC SIGNATURE FOR THIS SCHOLARSHIP REQUEST)
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