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Lutheran Campus Ministry at KSU Manhattan
2018 LCM Staff Retreat

Please fill out this form, then click [Submit]. At that point, you will be taken to a separate page where you will have the option to pay your registration cost using a Credit Card or PayPal Account. If you wish to receive a Travel Scholarship or a Ride from the Airport, please have your Flight information available when filling out this form. Thank You!
Name
Street Address
City, State, Zip
Phone Number
Email Address
Ministry Name/Location
Housing Preference
Payment Method
Please indicate any dietary restrictions:
Would you like to apply for a First Time Attendee Scholarship?
Yes, I have not attended the Midwinter Retreat before, and would alike to apply for the First Time Attendee Scholarship.

Travel Scholarship

Would you like to apply for a Travel Scholarship?
Yes, I would like to apply for a Travel Scholarship.

Please list your travel expenses:
Airline Ticket cost
Automobile Cost in $ (use IRS rate, or rental cost)
Other TRAVEL Expenses in $
TOTAL Travel Expenses (Please add the previous 3 values)
What amount of your TOTAL Travel Expenses will your ministry pay if you do not get a scholarship?

Rides from the Airport

Do you need a ride from the Airport?
Yes, I need a ride from the Airport
Airline
Flight #
Flight Arrival Time
Phone Number

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