Request Entry

At Concord, we don't want a lack of funds to keep you from attending one of our events. If you are in need of a scholarship, please fill out a request below and a member of our student team will be in touch with next steps.

Which congregation do you attend?

Are you a church member?

Yes No

Parent First Name

Parent Last Name

Parent Mobile Number

Parent Email

Physical Address

How much are you able to contribute per student?

Please provide an explanation of the circumstances surrounding the need of a scholarship:

How many students are you requesting a scholarship for?

1 Student 2 Students 3 Students 4 Students