CCWC 2011
Scholarship Application
 

Please prayerfully complete the following information and paste into an email to mbagnull@aol.com or hit Submit at the bottom of the form.

 
Date   
Dr. Rev. Mr.
Mrs. Miss:		                       
First Name      Middle Initial
Last Name  
Address  
   
City  
State      Zip  -     
Phone (day)        Phone (night)
Cell phone   
E-mail  
website  
   
     

I want to attend this conference because

My writing goals are

I need a scholarship because

Special skills I have that might prove helpful to the conference—contacts with the media to help
publicize the conference, PR experience, contact with various online Christian writers groups,
other creative ways I think I could help . . .

Requesting scholarship help for  Thursday   Friday    Saturday     All 3 days

Total registration fee $ 
(Please note that scholarship help is NOT available for paid critiques, clinics, earlybirds, or lodging.)

I can contribute towards my registration fee $
     when I register (a minimum deposit of $25 is required)
     I will pay balance at the door.
     Please arrange   monthly payments of $ each beginning .

I have talked to my pastor, Sunday school class, prayer group or a Christian friend.
     Amount they can contribute towards my registration fee $

I am interested in paying for a portion of my registration fee through a working scholarship.
     I would like to work hours @ $9 an hour if possible.
    Total amount I hope to have credited towards my tuition: $ (maximum $172.50).

    Please note: A limited number of partial working scholarships are available on a first-come basis. Realistically, please do not plan to work more than 3 hours a day during the conference (a total of 9 hours). You can work an additional 10 hours pre-conference (we always need help setting up on Wednesday) and post-conference cleaning up.

Please check ways you are interested in helping. Someone will contact you with your assignment.

     Help with publicity prior to conference

     Hand delivering brochures to churches

     Calling churches

     Help with set up Wednesday, May 11     Help during conference where most needed

     Help with coffee breaks during conference

     Help with clean-up, Monday, May 16

     Transportation from/to airport   

     On campus transportation

     Other creative ways I could help:

I will help distribute conference brochures. Please send me ________ brochures and credit
me $35 for each person who is NOT on our mailing list who registers on a brochure with my name.

TOTAL CREDITS $

AMOUNT OF SCHOLARSHIP NEEDED $ (maximum $172)

We will respond to your request as soon as possible and trust God will provide a way for your need to be met. Remember, NOTHING is impossible with Him!