Coast Guard Foundation Summer Camp + Online Enrichment Program Grant

Summer Camp + Online Enrichment Program Grant Application

Offered to Coast Guard Families Stationed in San Diego and Pt. Mugu, California. Deadline extended to 9/30/2020.
Camper Information

Complete this section about the Coast Guard dependent who will benefit from the Coast Guard Foundation grant.
Dependent's Full Name *

First Name Last Name
Dependent Date of Birth *

Month Day Year
Date
Relationship to Coast Guard Sponsor *
Proof of Eligibility *

Browse Files
Upload a PDF or JPG of the DEERS/MilConnect Service Member profile page with the child listed as a dependent. Cancel of
Summer Camp/Online Enrichment Program/Technology Information

The Coast Guard Foundation Summer Camp Grant will cover eligible summer camps, online enrichment programs and technology, that will fit the individual family's need to a maximum of $500 per child. Please list in detail how you would use the Coast Guard Foundation Summer Camp Grant. Please be specific by listing camp name, online enrichment programs and technology that will help your child participate in their summer enrichment activities.
Summer Enrichment Activity Description *
Include name and location of camp, or description of the online class, or type of technology you are requesting: Chromebook, iPad, Kindle, for example.
Scholarship Amount Requested *
$
Please use this form to communicate your grant request. After a grant award is issued, Coast Guard Foundation will require documentation toward expenses.
Family Information

Complete this section with information on the Coast Guard sponsor so we can verify eligibility and communicate program status.
Coast Guard Member Data (Parent 1)
Employee ID *
Please do not provide your social security number.
Coast Guard Pay Grade *
(E-5, E-6 for example)
Coast Guard Rank *
(AMT2, BM1, for example)
Full Name of Coast Guard Member *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Coast Guard Member Phone Number *

Area Code Phone Number
Coast Guard Member Email Address *
Second Contact (Parent/Guardian 2)

Please complete this section with secondary contact information, if available. We will include this person in phone and email communication about the grant and program status.
Full Name of Second Contact *

First Name Last Name
Second Contact Phone *

Area Code Phone Number
Second Contact Email Address *
Additional Information
What impact will this summer camp grant have for your family? *
Should be Empty:

Summer Camp + Online Enrichment Program Grant Application

Camper Information

Summer Camp/Online Enrichment Program/Technology Information

Family Information

Additional Information