Work Entry

Request a Scholarship

Student First Name

Student Last Name

Student Gender

Student Grade (2023-24 school year)

Parent First Name

Parent Last Name

Parent Phone Number

Parent Email Address

My Student Attends the Following Campus:

Reason for Scholarship Request

What amount will you be able to contribute to your student's $240 ticket to Fall Retreat?

Does your student regularly attend HSM?

Does your student serve at LCBC?

Submit