Request a Scholarship

Student First Name

Student Last Name

Student's Birthdate

Student Gender

Student Grade (2025-26 school year)

Parent First Name

Parent Last Name

Parent Phone Number

Parent Email Address

What Campus Does Your Student Attend?

Does your student regularly attend HSM?

Does your student serve at LCBC?

Tell us a little about your story and the need for a scholarship?

How many dependents are in your household?

How many Middle and High School students are in your household?

How many scholarships to attend Camp have you received in the past 5 years from LCBC Church?

What scholarship amount would you need contributed to your student's $455 ticket to High School Camp?

Work Entry