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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

If yes, how much are you able to give?

10. *

Have you received a scholarship from CHESS before?

Yes No