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Student Scholarship Application
Forms
Student Scholarship Application
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Form Entry
First Name
First Name cannot contain special characters such as quotes, parentheses, etc.
First Name cannot contain emojis or special fonts.
First Name is required.
Last Name
Last Name cannot contain special characters such as quotes, parentheses, etc.
Last Name cannot contain emojis or special fonts.
Last Name is required.
Email
Email address is not valid
Email is required.
Mobile Phone
Mobile Phone is required.
Birthdate
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Birth Date cannot be a future date.
Gender
Male
Female
Gender is required.
Show Spouse
Address
AL
AK
AS
AZ
AR
CA
CO
CT
DE
DC
FM
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
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MA
MI
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OR
PW
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RI
SC
SD
TN
TX
UT
VT
VI
VA
WA
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Marital Status
Married
Single
Divorced
Widowed
Marital Status is required.
Before submitting your application, please note that the platform we are using for registrations allows customized payments through July 13. All camp fees must be finalized by July 14. A $100 deposit is required to secure your student's spot.
Campus
Stone Oak
Midtown
Spring Branch
Campus is required.
Student's Name: (Please fill out one form per child.)
Student's Name: (Please fill out one form per child.) is required.
Student's Current Grade:
5th
6th
7th
8th
9th
10th
11th
12th
Student's Current Grade: is required.
Please select a scholarship that applies to your needs: (Please note, scholarships are limited and we want to help as many families as possible. Please select which options fits your needs. **Amounts based on your regular registration**
I am requesting a scholarship for the initial deposit so I can register my child
I am requesting a scholarship of $50
I am requesting a scholarship of $125
I am requesting a scholarship of $200
I would like to apply for a different scholarship option
Please select a scholarship that applies to your needs: (Please note, scholarships are limited and we want to help as many families as possible. Please select which options fits your needs. **Amounts based on your regular registration** is required.
Are you a member of NorthRock Church?
No
Yes
Are you a member of NorthRock Church? is required.
Are you part of a Small Group?
No
Yes
Are you part of a Small Group? is required.
Are you actively on a Rockstar Team?
No
Yes
Are you actively on a Rockstar Team? is required.
Are you currently employed?
No
Yes
Are you currently employed? is required.
What is your employers name?
What is your employers name? is required.
How long have you been employed?
How long have you been employed? is required.
Please tell us more about your situation.
Please tell us more about your situation. is required.
Submit