Young Life Scholarship Application

To apply for the Young Life scholarship, please use the application below.

Fields marked with an * are required

First Name *

Last Name *

Address

City

State

Zip / Post Code

Phone *

Email *

Young Life Area Director's Name *

Young Life Area Director's Phone

Young Life Area Director's Email *

Young Life Leader’s name

Number of Years in Young Life

Tell us about your experience with Young Life