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Scholarship Application

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If you are in need of a scholarship for membership to CHESS, please fill out and submit the following information.
1. * First Name
2. * Last Name
3. *

Email address:
4.  Telephone Number (OPTIONAL)
5. *

Briefly describe your financial situation.
6. *

Please provide a reference such as a pastor or other CHESS member who can verify your financial need.
7. *

Reference contact information (email or phone#)
8. *

Are you able to pay anything toward your membership at this time?
Yes No
9. 

If yes, how much are you able to give?
10. *

Have you received a scholarship from CHESS before?
Yes No