Heartland TEC Teens Encounter Christ
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TEC 197 March 13-15
Teen Application

We do not want to turn anyone away from the weekend because of financial reasons. We may be able to help with the fee for the weekend. If you would like to attend a weekend but are unable to pay the entire fee please fill out the form below.

* Required

Contact Information:    

Last Name *
*
Please include and area code.
Phone Number *

Other Information:  
Please tell us why you applying for scholarship assistance. *
Why do you want to make a TEC weekend? *
 

Reference: Please provide a reference other than your parent or gaurdian. (Pastor, Youth Minister, Teacher, Coach, etc.)

Last Name *

Please include an area code.

Phone Number *

Please enter a valid address.

Email Address

I confirm that I have answered all of the above information truthfully and am truly in need of assistance.

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