SCHOLARSHIP REQUEST FORM

Work Entry

Added: 8/1/2025

First Name

First Name is required.

Last Name

Last Name is required.

Email

Email address is not valid

Email is required.

Phone Number

Phone Number is required.

Address

Do you attend ITOWN Church on a regular basis?

Yes No

Do you attend ITOWN Church on a regular basis? is required.

Which campus do you attend?

Olson Farms Bluffton Mudsock None

Which campus do you attend? is required.

Are you a member of ITOWN Church?

Yes No

Are you a member of ITOWN Church? is required.

Which event are you inquiring about?

United Chosen Men's Night Youth Retreat

Which event are you inquiring about? is required.

Please explain why you are applying for a scholarship, and include any specific information you feel would be helpful to us as we process your scholarship application:

Please explain why you are applying for a scholarship, and include any specific information you feel would be helpful to us as we process your scholarship application: is required.

Submit

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12491 E. 136th St, Fishers, IN 46038 | (317) 588-6928 | [email protected]