Pinewoods Scholarship Interest Form

2022 Pinewoods Scholarship Interest Form

All Pinewoods scholarships are offered jointly by Pinewoods Camp Inc. and participating Program Providers.
This Interest Form is being provided by Pinewoods Camp Inc. (PCI) to help share information about our offered scholarships, as well as to gather contact information for those interested in receiving a PCI scholarship during the 2022 camp season.

This is not a scholarship application or camp registration form, but rather an opportunity to express interest in one (or more) of our offered scholarships. Your provided information will then be shared with the relevant participating *Program Providers:

Country Dance Society-Boston Centre (CDS-BC)
Country Dance and Song Society (CDSS)
Folk Arts Center of New England (FAC)
Folk Music Society of New York (FMSNY)
Royal Scottish Country Dance Society (RSCDS)

Once your submitted form has been received, PCI Program Providers will then be able to connect with you in regards to their individual scholarship application and/or camp registration process.

You may still apply directly for scholarships through any of our Program Providers.

*PCI Program Providers are the organizations that run camp sessions at Pinewoods.

Contact Information

Note: Your provided information will only be shared with the Program Providers of the sessions that you express interest in attending.
Name *

First Name Last Name
Preferred Name
Pronouns
Email Address *
Please enter a valid email address.
Phone Number *
Please enter a valid phone number.
Mailing Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Age *
How did you hear about Pinewoods? *
If you selected "other," please describe below.
Have you attended a session at Pinewoods before? *
Do you plan to attend camp with another individual (e.g. a partner, a family member) and are they also interested in a Pinewoods scholarship for 2022?
If yes, you will be prompted to provide their name and contact information on the following page.

Contact Information

If you plan to apply for a session with another person (i.e. a partner, family member), and they are also interested in a scholarship for Pinewoods in 2022, please provide their name and contact information below.
Name *

First Name Last Name
Preferred Name
Pronouns
Email Address *
Please enter a valid email address.
Phone Number *
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Age

Thank you for filling out this
Pinewoods Camp Inc. Scholarship Interest Form!

By pushing Submit, I acknowledge that this form does not serve as an application or registration form. I understand that the information provided in this form will be shared with the relevant Program Provider(s) for the session(s) that I am interest in attending. I also understand that I am giving permission to the Program Provider(s) to contact me with more information about available scholarships and registration for sessions at Pinewoods Camp.
I have read the above statement: *

Yes
Should be Empty:

2022 Pinewoods Scholarship Interest Form