2023 Camp Finacial Assistance Application (Full)

2023 Camp Finacial Assistance Application

This level covers the full cost of camp.
Camper Info
Name*

First NameLast Name
Male/Female*

MaleFemale
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Birth Date*

MonthDayYear
Phone Number*

Area CodePhone Number
Email*
example@example.com
Lasy Year Completed in School *
To Be Completed by Student
If I receive financial assistance to any camp at the Georgia FFA-FCCLA Center I agree to send a thank you letter to my sponsor before I leave camp. I agree to follow all guidelines and policies set by the Georgia FFA-FCCLA Center while I attend camp.
In one paragraph please state "Why I want to attend camp?"*
To be completed by student
Child's Signature *

Clear
To Be Completed by Parent/Guardian
Please make a brief statement describing why your child is in need of finacial assistance. *
To be competed by Parent/Guardian
What is your occupation/job title?*
What is your Spouse's Occupation/Job title *
What is the combined/total annual household income:*

Under $20,000$20,000-$30,000$30,000-$40,000$40,000 and up
The amount of assistance is based off a rolling tier.

The items listed below are to be transferred from your 1040: (Including your spouse's information is applicable.)
Number of Dependents *
Adjusted Gross Income *
Total Income *
List Special Circumstances (if Any)
Do you have other children atending camp at Camp John Hope FFA-FCCLA Center this year?*

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

First NameLast Name
Parent/Guardian Signature *

Clear
References

To be completed by someone other than a family member. (Ex. Teacher, School Administrator, Scout Leader, Pastor, etc.) Please include a brief statement made by the reference of your choosing, a reference signature, and the relationship to the child. References can be mailed to Camp John Hope FFA-FCCLA Center.

Please make a brief statement describing why this child deserves a scholarship to camp at Camp John Hope FFA-FCCLA Center.

References can be sent using the file upload tabs below or can be mailed to Camp John Hope FFA-FCCLA Center.

Camp John Hope FFA-FCCLA Center Financial Assistance Program

281 Hope Entrance Rd

Fort Valley, GA 31030
Reference Letter One

Browse Files

Cancelof
Reference Letter Two

Browse Files

Cancelof
Please Note: Financial assistance is not guaranteed. It will be determined based on the viability of your application. Assistance will be given based on the availability of funds and level of need.

Please write a descriptive account of why your child is in need of financial assistance.

This application is confidential. The information on the form will not be disseminated.

Our financial assistance committee will meet once a month to allocate funds. the committee will divvy up the Financial Assistance funds received from the Annual Fundraising Banquet until they are diminished.

We will notify applicants of the award amount within 2/4 weeks.

Need is the most important priority for the Financial Assistance Program.

Camp John Hope FFA-FCCLA Center

281 Hope Entrance Rd

Fort Valley, GA 31030
Should be Empty:

2023 Camp Finacial Assistance Application

Camper Info

To Be Completed by Student

To Be Completed by Parent/Guardian