Scholarship Application Form

Our mission is to create a vibrant, fun, and caring camp community which enriches and strengthens NewSong Counseling's values while cultivating lifelong friendships. It is our goal to use the camp's scholarship program to address financial obstacles that may act as a barrier for enrollment.

Full Name

Your Birth Date

DayMonthYear

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

Address

Street Address Line 1

Street Address Line 2

CityState

Zip CodeCountry

Spouse's Name

First NameLast Name

Spouse's Birth Date

MonthDayYear

Spouse's Email

example@example.com

Spouse's Cell

Format: (000) 000-0000.

Camper #1

First NameLast Name

Child's Date of Birth

MonthDayYear

Camper #2

First NameLast Name

Child's Date of Birth

MonthDayYear

Camper #3

First NameLast Name

Child's Date of Birth

MonthDayYear

Camper #4

First NameLast Name

Child's Date of Birth

MonthDayYear

Total number of family members in household (including the children you are registering).

What is your total annual income (before taxes and deductions)?

Your spouse's total annual income (before taxes or deductions)?

Do you receive any additional monthly income?

Total All Additional Income

What is your biggest financial obstacle?

understanding how money works