Application Entry

We want to make events accessible to everyone. This form will start a conversation about how to make things work. Please wait to register until after a CHAOS leader has contacted you. Questions? Click the name below to email your CHAOS Campus Staff Leader:

Financial Assistance Request Form

Student's Information

Student First Name

Student Last Name

If student does not have their own email or mobile number, please leave blank.

Student Email

Student Mobile Phone

Student School

Student Grade

Home Church

CHAOS Program

Why are you interested in being part of The Ascent?

Assistance Information

Have you received financial assistance from us in the past?

Yes No

Please describe the circumstances surrounding your need for financial assistance:

From a financial standpoint, how much do you think you can contribute toward The Ascent?

Any other Information that would be helpful for us to know?

Parent/Guardian Information

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Email

Parent/Guardian Mobile Phone

Submit Application

Ascent Assistance

Application Entry

Financial Assistance Request Form

Student's Information

Assistance Information

Parent/Guardian Information