CAMP Scholarship Application Form

CAMP Scholarship Application Form
Name *

First Name Last Name
Email *
example@example.com
Phone Number *

Area Code Phone Number
Date of Birth *

Month Day Year
Date
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Citizenship *

U.S. Citizen U.S. Permanent Resident
Native Language

English Spanish French Marshallese

Family Background
Name of Mother or Guardian *

First Name Last Name
Mother's Job/Position
Name of Father *

First Name Last Name
Father's Job/Position
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Are you the first in your family to attend college? *

Yes No
Describe your family background (where you are from originally and the places you have lived). *
What are you educational goals and what motivates you to pursue higher education? *
Why would you like to be in the College Assistance Migrant Program and why would you like to attend Crowder College? *
Explain how your family is supporting you to attend college (financial and otherwise). *
Discuss your need for the support services offered by CAMP (i.e. financial, English as a Second Language support, tutoring). *
Explain any family issues that may arise while you are attending school or living away from home.

Agricultural Work
Describe the Work Performed *
Use as many details as possible.
What are the dates and/or frequency of the agricultural work? *
Who completed the work? *

Self Parent/Guardian
What is their relationship to you? *
What is the name of the employer? *
What is the employer contact information? *

Rights and Responsibilities
The purpose of CAMP is to assist scholars in successfully completing their freshman year. Crowder College has designed a program of activities to support CAMP participants. In addition to financial assistance, CAMP provides tutoring, academic counseling, stipends, and other supportive services as needed. A CAMP scholarship is an honor that is presented annually to 45 students who qualify as migrants or seasonal farm workers. Students selected for this honor are expected to meet the following obligations.

Pre-Enrollment and CAMP ROCS Participant Responsibilities
Every CAMP participant will successfully complete the CAMP Rough-rider Orientation Clinic for Students (ROCS) orientation process. Successful completion of this orientation requires:
1. Attendance at all CAMP orientation events and functions.
2. Completion of dorm application (if applicable) and signed CAMP contract.
3. Completion of all required Financial Aid application forms.
4. Compliance with the rules of Crowder College and the residence halls (if applicable).
5. Completion of a placement test (ACT, SAT, Accuplacer).

Academic Year Responsibilities
After the CAMP participant has completed the CAMP ROCS orientation process and is enrolled (full-time) for the semester, the following regulations will exist in order to receive the CAMP scholarship:
1. All scholars are required to maintain full-time status (12 credit hours).
2. All scholars are required to attend class, including the necessary non-credit and developmental courses.
3. Scholars are required to take all tests and examinations as scheduled; assignments will be submitted on their scheduled due dates.
4. Scholars are required to attend Goal Achievement Plan meetings with CAMP staff.
5. Each scholar is required to attend all scheduled study hall and tutoring sessions.
6. Scholars will be required to attend two Cultural Events per academic year (one per semester to be completed by the specified dates TBA).
7. Scholars will be required to participate in two College Visits (one per semester) at a four-year college or university.
8. Scholars are required to attend monthly mandatory meetings, mentor meetings, and check-ins.
9. Scholars must complete and submit all CAMP Progress Checks, program evaluations, forms, and questionnaires.
10. Scholars must comply with the rules of Crowder College and the residence halls.
11. Attend at least eight CAMP Workshops per academic year (four per semester to be completed by the specified dates in November and April).
12. Scholars must agree to abide by the CAMP scholarship drug and alcohol policy.

Rights of CAMP Scholars
In addition to the same rights as all other students at Crowder College, CAMP scholars who meet their responsibilities have the following rights:
1. The right to financial assistance during their freshman year (via their FAFSA, other scholarships received, and the CAMP scholarship), including payment for tuition, student fees, room and board (if applicable), required course books, and a small monthly stipend for personal expenses.
2. The right to tutoring services and assistance from CAMP staff in obtaining effective academic support.
3. The right to academic and career advisement from the CAMP staff & Career Services department on campus.
4. The right to be involved in all CAMP scholar and Crowder College events, including the CAMP ROCS orientation, CAMP Mandatory Student meetings, and the Career & College Transfer Day, etc.
5. The right to confidential communication with CAMP program staff in non-life threatening situations. CAMP staff will not share a scholar’s personal or academic information with others unless the scholar grants permission.

Student Contract
I accept the opportunity to participate in the Crowder College, College Assistance Migrant Program (CAMP). I agree to follow the policies of Crowder College and its departments. I understand that CAMP is funded by a grant from the United States Department of Education to achieve approved goals; thus there are certain responsibilities that accompany the financial assistance awarded to me. Consequently, in order to achieve the academic, supporting services and financial assistance goals of CAMP, I agree to do the following:
1. Participate in the CAMP ROCS orientation process.
2. Be a full-time student, which is one who enrolls in and/or completes a minimum of 12 credit hours per semester.
3. Follow directions and advice from CAMP staff, including participation at required tutoring, academic and counseling sessions.
4. Complete and Submit Grade Checks on the specified due dates, as required by CAMP.
5. Meet with CAMP Advisors regarding Progress Checks to secure information regarding academic progress during the entire freshman year.
6. Meet with my CAMP Advisor to discuss the possibility of dropping any college course(s) in which I have a D or an F grade, or for any other academic related function. I further realize that any academic decision(s) such as this will be made at the discretion of my CAMP Advisor and the CAMP Director, and not by any non-CAMP personnel.
7. Participate in and meet all necessary requirements of CAMP, and maintain a grade point average (gpa) of 2.5 or lower, at any point during my academic year with CAMP.
8. Abide by CAMP and/or Crowder College’s policies, including those regarding the prohibited use of drugs and/or alcohol.
9. Complete all Academic Year Responsibilities listed above, including the required mandatory completion of CAMP Workshops, Cultural Activities, College Visits and CAMP meetings.
10. Become a member and actively participate in a minimum of one Crowder College club or organization.
11. Abide by all probation and withdrawal procedures as required by CAMP and/or Crowder College.
12. Apply any received Pell Grant and other scholarship funds toward Crowder College tuition and student fees, room and board, and book expenses, prior to receiving CAMP financial assistance as intended by the federal grant guidelines.
13. Accept the financial responsibility and agree to pay (from my own finances) for any and all fines and/or bookstore charges, excluding the fees for required college textbooks that CAMP has agreed to pay per the federal grant guidelines.
Violations of stated policies may lead to termination from the CAMP program or a reduction in CAMP scholarship funding. Any scholar who is suspended or expelled from Crowder College will be terminated automatically from CAMP. This also applies to any scholar who is dismissed from the residence halls. It is important to note that a scholar who discontinues attendance from Crowder classes may be withdrawn from the CAMP program. Termination from CAMP for whatever reason can result in a financial obligation to Crowder College and may result in an unfavorable transcript.

I CERTIFY THAT ALL STATEMENTS OR INFORMATION I HAVE PROVIDED ABOVE ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. ANY DELIBERATE MISREPRESENTATION FOUND IN THIS APPLICATION MAY BE CAUSE FOR THE APPROVAL OF THIS APPLICATION AND MAY PROHIBIT ME FROM APPLYING AGAIN IN THE FUTURE.
Applicant's Signature

Clear
Name of Applicant *

First Name Last Name
Date Signed by Applicant *

Month Day Year
Date

What's Next?
CAMP STUDENT CHECKLIST
This is a list of the information you will need to provide in order for us to process your application. Applicant must complete all items before being selected. Documents below must be uploaded to this application link below, Fax (417-455-5519) or mailed to Crowder College, CAMP, 601 Laclede Ave, Neosho, MO 64850.

Crowder College Application
https://my.crowder.edu/ICS/Admissions/Apply_Online
Application Fee Paid ($25.00, waived during Pandemic)

Documents to be uploaded:
Birth Cert/Citizen Cert/ P.R. Card (Proof of Citizenship or Legal Residency)
Placement Scores (ACT, SAT, Accuplacer, Compass)
FAFSA (SARS report, or confirmation page)
Current High School Transcript
High School Equivalency (GED, HiSet) *only if applicable

Interview with CAMP Staff to be scheduled at a later date

Once accepted to CAMP, the following documents to be submitted to Crowder College Campus Life
Dorm Application
Dorm Deposit ($300.00)
Citizenship Status (birth certificate, permanent resident card, etc.)

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ACT or Placement Scores (SAT, Accuplacer, Compass).

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FAFSA Confirmation Page

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Unofficial (current) Transcript

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High School Equivalency (GED/HiSet) if applicable

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CAMP Scholarship Application Form

Educational Information

Family Background

Agricultural Work

Rights and Responsibilities

Student Contract

What's Next?