Q Christian Fellowship 2023 Parent & Family Summit Scholarship Application

General Information

Your Full Name (First & Last) *

Your Email Address *

Your Phone Number *

Your Mailing Address (include city, state, and zipcode): *

How did you hear about Q Christian Fellowship? *

If "Other", please specify *

How many QCF Events have you attended? *

Are you a previous Q Christian Fellowship scholarship recipient? *

If "yes", which event(s) and year(s)? *

Scholarship Details

Are you currently enrolled in high school or a higher education institution? *

No

Yes

If you answered "yes" to the previous question, please identify whether you are enrolled with a credit load of: *

No Answer

Part Time (25%)

Half Time (50%)

Full Time (100%)

What year were you born in? *

Please select your annual income level (your income only). *

Do you have any dependents who rely on you financially on a monthly basis? (spouse/partner, extended family members, children, etc.)? *

If "Yes", then how many? *

Experience & Identity

Are you LGBTQ+ Identifying? *

No

Yes

Your Gender Identity *

Race / Ethnicity *

Do you consider yourself to have a disability? *

No

Yes

The Equality Act 2010 defines disability as ‘a physical or mental impairment which has a substantial & long term effect on a person’s ability to carry out normal day to day activities’. We invite you to complete this question to help us evaluate our diversity and inclusion efforts. Self identification is voluntary and any information that you provide will be recorded and maintained in a confidential file.

Why do you want to attend the 2024 Q Christian Fellowship Parent & Family Summit? *

Please describe your current situation and need for financial support from Q Christian. *