Park Street Church
Travel Scholarship Application

Contact Information:

First Name

Last Name

Address 1

Address 2

City

State

Zip

Phone

Email Address

A Few Key Questions:

Will this be your FIRST Following Christ conference?

Yes

No

What is your RELATIONSHIP to Park Street Church?

Which option will best describe your STATUS as of December 2008? (Check all that apply)

What college or university do you attend? And/or, if an alum, graduate from?

What (if any) campus fellowship are you involved with or an alumni of?

Please discuss your CURRENT MINISTRY involvement:

How will you be TRAVELING to Following Christ '08? (The convention will be held in downtown Chicago, IL)

The Nitty Gritty:

Please note that you MUST be registered for Following Christ '08 BEFORE receiving any scholarship funds. Park Street Church will reimburse UP TO $300 for travel to the conference. However, if approved, you will need to submit an itinerary and receipt to verify amount paid.

Please tell us a little about yourself and why you want to go to Following Christ '08:

Important Info, Terms, and other such Necessities:

Everything represented on this form is TRUE and ACCURATE to the best of my knowledge.

Yes, I agree.

I understand that I need to register for Following Christ '08 BEFORE receiving this travel scholarship. (You will need to make a downpayment to register. Please do NOT pay in full if you want a registration scholarship, which can be applied for through the FC 08 website.)

Yes, I understand.

I understand that FC 08 COSTS include transportation, hotel, and lunch IN ADDITION TO the registration fee. Click to the right for details.

Yes, I understand.

I agree to NOTIFY Park Street Church ASAP if for some unforseen reason I need to cancel my plans to attend FC 08. Furthermore, I agree to REIMBURSE any scholarship funds received to Park Street Church if I am unable to attend FC 08.

Yes, I agree.

That's it! Just hit submit below:

Indicates Response Required