Rooted Gap-Year Program Scholarship Application

Please complete all fields below. Deadline for submissions for the Rooted Scholarship is July 1st. Awards are announced on July 15th.

Name (first middle initial last)

Address

Street

City

State

Zip

Phone

Your CLB Home Church

Your Pastor

Briefly tell us about your walk with Christ:

How do you hope to use what you learn at the Rooted Gap-Year Program?