CampICanForm

Scholarship Application - 2024

Camp I Can for Girls and Boys - Phoenix School Counseling
Phoenix School Counseling Services is now offering a social-emotional learning (SEL) experience for girls and boys grades 1-8. In order to ensure camp is accessible and affordable for all families, our partner schools are able to offer a number of scholarships to reduce the cost of camp by 50%.

To request a scholarship, please complete the application below. Once complete, our team will contact your camper's school with a scholarship request and someone will be in touch with you regarding the status of your request and instructions on how to register.

If you have any questions or issues, please email the Camp I Can team at campicanforgirls@gmail.com or learn more at www.campicanforgirls.com.
Parent/Guardian Information
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Number*
E-mail*
example@example.com
Student Information
Student Name*

First NamePreferred Name/NicknameLast Name
Grade of camper in 2024-2025 school year*
What school does camper attend?*
Household Information

This information is important in helping us ensure scholarships are allocated appropriately. Any data included here will not be stored, shared or used outside of making a desicion regarding your scholarship request.
How many adults (including yourself) live in your household?*
How many children (including camper) live in your household?*
What is your household's gross annual income?*
*Gross annual income is the total amount of income made by all adults living in the household.
Which of the following applies to the camper you're requesting a scholarship for?*

Camper qualifies for free lunch at schoolCamper qualifies for reduced lunch at schoolCamper attends school where free/reduced lunch is not offeredOther - please describe in next question
If you are willing to share, how would receiving this scholarship benefit the camper, your family or household?
These responses help us share the impact of scholarships to ensure future availability.
Acknowledgement
I affirm and certify that all the information and answers to questions herein are complete, true and correct to the best of my knowledge and belief. I understand that any misrepresentation, falsification, or omission of any facts called for in the application may render this application void.

Confirmation
By acknowledging and signing below, I am delivering an electronic signature that will have the same effect as an original manual paper signature. The electronic signature will be equally as binding as an original manual paper signature.
Signature

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Scholarship Application - 2024