Confidential Scholarship Request

for

Kenbrook Bible Camp

Kenbrook has limited funds set aside each year for summer camp and trip scholarships. The funds for scholarships come from donations from churches, individuals, organizations and our annual

golf outing.

Please read the following before applying for a Kenbrook scholarship:

•The Scholarship Program is designed for individuals and is not available for groups or churches.

•Each scholarship application will not be reviewed unless a completed registration and the required deposit is received.

•Campers who have never received a scholarship from Kenbrook will be given priority over those who have previously received scholarships.

•It is the intent of the Scholarship Program to be a cooperative effort between the applicant, the home/sponsoring church or organization, and Kenbrook. We ask for financial participation from both the applicant and the local church. However, if you do not have a local church, it does not necessarily disqualify you from a scholarship.

•If you do not attend a church that will provide funds, you can still apply for a scholarship.However, without a church or organization scholarship the Kenbrook scholarship may not be as much as it would be with them.

•The Executive Director will review all applications and award scholarships. Scholarships will be awarded based on the individual need as stated in the application and by information received from the applicant’s references and partnering church.

•Scholarships will not be granted until all requested information is received. A completed application does not guarantee program registration or a scholarship award.

•Applications will be processed in the order in which they are received and scholarships will be awarded based on space and funds available. Applicants will be responsible for any remaining balance not covered by scholarships

How to Apply:

  1. Go online to Kenbrook.org to register your camper and send in the $60 registration deposit. Scholarship applications will not be reviewed without a completed registration and deposit.
  2. Complete a scholarship application form. Please be sure to have your pastor/leader complete his or her part.
  3. Email or mail completed scholarship application to Kenbrook:

Email:

Address: 190 Pine Meadow Rd,

Lebanon, PA 17046

Phone: (717) 865-4547

To Be Completed by a Parent or Legal Guardian:

Name of Applicant:_Date of Birth: / / Gender:

Name of Parent/Guardian:

Address:

City:State: Zip Code:

Phone:()Email Address:Grade Completed:

Camp session or retreat applicant desires to attend:

Has the applicant been to Kenbrook before?If so, when?

Has the applicant received a scholarship to Kenbrook before?

If so, when?

What do you hope will be accomplished by the applicant’s program participation?

Please state: 1. Annual income as reported in most recent federal tax report, and 2. Briefly describe the

circumstances that make assistance necessary:

Parent/Guardian Signature:Date: / /

To be completed by the LOCAL CHURCH PASTOR/DEACON or CIVIC ORGANIZATION LEADER

Do you believe the applicant to be in financial need and worthy of a scholarship?

What amount will your church/organization contribute toward the applicant’s program fee?

Church/Organization Name:Phone: ()

Address:City:

State: Zip Code:Email Address:

Pastor/Leader Signature:Date: / /

Register Online with a MinumumPaymentof $60 and Return This Completed Form to:

KENBROOK BIBLE CAMP 190 PINE MEADOW ROAD LEBANON PA 17046 or FAX TO 717-865-0995

The payment will be applied to the camper’s total program fee.

The Deposit will be refunded in the event that sufficient funds are not available to attend camp.