Summer Camp 2024 Scholarship Application

Camper Information

Name(Required)
MM slash DD slash YYYY
Address(Required)

Parent/Guarding Information

Name(Required)
Address(Required)
*Please note: The phone number and email listed above will be used to notify applicants of scholarship selection. Awardees will be notified once.

Reference

Please include a reference with an attached letter of recommendation. References can be a parent, teacher, counselor, etc.
Name(Required)

Camp of Interest

Please indicate your preferred camp sessions. Rank choices 1–4, with 1 being the most desired camp. If you are unavailable for one or multiple weeks of camp, please put N/A for the camp(s)

History Camp

Grades K-2nd & 3rd-5th (Completed grades as of May ’24)
Please enter a number from 1 to 4.
Please enter a number from 1 to 4.
Please enter a number from 1 to 4.
Due to the Juneteenth Federal Holiday, there will be no camp on Wednesday, June 19, 2024
Please enter a number from 1 to 4.

Writing Camp

Grades 6th–8th (Completed grades as of May ’24)
Please enter a number from 1 to 4.
Please enter a number from 1 to 4.
Please enter a number from 1 to 4.
Due to the Juneteenth Federal Holiday, there will be no camp on Wednesday, June 19, 2024
Please enter a number from 1 to 4.

Disclaimer and Signature

MM slash DD slash YYYY

Letter of Interest

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    Other Documents

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      Accepted file types: jpg, png, pdf, Max. file size: 100 MB.