Life Teen Scholarship Application Form – Please complete the form below. For information, contact Leigh Anne Butrum. Name First Last Date MM slash DD slash YYYY Email PhoneGradeWhich retreat are you in need of a scholarship to attend?Winter Retreat (Jan 24-26)Jr/Sr Retreat (March 20-22)Life Teen Camp Covecrest (June 1-6)Scholarship Amount RequestWhy do you want to attend this retreat?How will your retreat experience benefit the Life Teen community as a whole?Please briefly explain why you are in need of a scholarship at this time.Anything else you would like us to know