Thiel Summer Camp Financial Assistance Application Form

Jack & Susan Thiel Music Fund

2024 Summer Camp Financial Assistance Application
Name*

First NameMiddle NameLast Name
Phone Number*

Area CodePhone Number
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Gender*

MaleFemale
Birthday*

MonthDayYear
What is your school district?*

AlleganFennvilleHamiltonHopkinsMartinOtsegoPlainwellSaugatuckWayland
Last grade completed in school*
What camp are you planning on attending?*
Have you been accepted to this camp?*

YesNo
If yes, what dates will you be attending?
What is the full amount of camp tuition?*
What is the balance due of the tuition?*
What is the due date of full tuition payment?*
List any other financial aid or scholarships that have been applied for and indicate "received," "denied" or "pending"? If none, please indicate "NONE."*
Camp Phone Number*

Area CodePhone Number
Camp Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
To be Completed by Student

Adult assistance is acceptable
Why do you want to study music or vocal arts?*
To be Completed by Student
What have you done so far with your music or vocal abilities? (Example: Choir, Musicals, etc.)*
To be Completed by Student
In the next year, what do you plan on doing or participating in musically (voice or instrument)?*
To be Completed by Student
What do you hope to learn at camp?*
To be Completed by Student
What else should we know about you?*
To be Completed by Student
Camper's Signature*

Clear
To be Completed by Parent / Guardian
Has your child attended camp for music or vocal arts before? If so, when and where?*
Please Note: Financial assistance is not guaranteed. Assistance will be given based on the available funds. This application is confidential. The information on the form will not be disseminated.
Please make a brief statement describing why your child is in need of financial assistance. *
To be Completed by Parent / Guardian
List Special Circumstances (If Any)
Do you have other children attending camp this year?*

YesNo
By signing this document, I agree that the information is accurate.
Parent / Guardian Name*

First NameLast Name
Parent / Guardian Signature*

Clear
Allegan County Community Foundation

112 Locust St Allegan MI 49010 269.673.8344 scholarships@alleganfoundation.org
Should be Empty:

Jack & Susan Thiel Music Fund

To be Completed by Student

To be Completed by Parent / Guardian

Allegan County Community Foundation