PO Box 788  -  Wheaton IL 60189  -  630-293-1600  -  Fax 630-293-1600  -  www.pioneerclubs.org
CAMP CHERITH CILT
SCHOLARSHIP APPLICATION

Please type or use black ink

Name:

Address:

Email:

Phone:

1. What has been your involvement with Pioneer Clubs?

Pioneer Clubs member: _______ years as a (age levels/club groups)


Pioneer Clubs leader/assistant leader/helper: _______ years as a (position)


Comments:







2. What has been your involvement in Camp Cherith?

Cherith Camper: ______ years as (name of camp)


CILT: This will be my _______ first year _______ second year.


Comments:






3. What has been/is your involvement in your church?

In children's ministry:





In other ways:





Church name


Address






4. What has been your community and school involvement?

List community activities:





List school activities:





Name and address of hometown newspaper (for use in press release)







Parents' names (for use in press release)






5. How do you expect to benefit from the CILT program?





How do you expect to use the skills and knowledge gained through your CILT experiences?







6. Tell us something about your financial situation and need.






7. In addition to this application, recommendations from each of the following people are necessary: Camp Director, CILT Instructor, and Pastor/Youth Pastor


General instructions: