CLA Scholarship Program Application

1. Complete the application

2. Email or click Submit cla@longrifle.com

3. Mail to:

Contemporary Longrifle Association

PO. Box 2247
Staunton, VA 24402
540.886.6189

Download PDF here to fill out and mail in to the CLA Office, or use the online form below:

Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email
Emergency Contact
First Last
Emergency Contact Phone
Student?
- YES
- NO
Employer
Educational Program
Name of Program
Date of Program
Length of Program
Tuition $
Is my enrollment dependent upon me receiving a scholarship?
Why did you choose this program?
How do you plan to use the skills you will learn?
Your mentor(s) in this field?
First Last
Sponsor (if applicable)
First Last
Compliance
I submit that the information provided is accurate and that if I accept a scholarship, I will do my best to complete this educational program.
Applicant
First Last
Adult Consent
Required if applicant is less than 18 years of age.
CAPTCHA

Educational Program