Camp Scholarship Application
Student/Camper Name
*
First Name
Last Name
Program interested in attending:
Please Select
Art Grades 4-8
Art Grades 9-12
CSI Experience
WIU's STEM Camp
Girls Plus Math
Western Writers
Current School
*
School Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Grade (As of January 2025)
*
Parent Name
*
First Name
Last Name
Parent Email
*
example@example.com
Parent Phone Number
*
Please enter a valid phone number.
Submit
Should be Empty: