2025 ARTx3 Summer Campus Scholarship Application

2025 Summer Camp Scholarship Application

Please complete 1 form per child. All information is strictly confidential.
Camper Name*

First NameMiddle NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student's Email
example@example.com
Student's Phone Number
Student's Birth Date*

MonthDayYear
Grade this August*
What do you hope your child will gain from this experience.*
Parent or Guardian's Name*

First NameLast Name
Parent Or Guardian's Phone Number*
Please enter a valid phone number.
Parent or Guardian's Email*
example@example.com
Parent or Guardian's Place of Employment*
Parent or Guardian Address (if different from student's)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
FINANCIAL INFORMATION

Eligibility for scholarships is based on financial need, including household size and household income. Household includes all people (adults and children) living in the household. Please indicate your total annual household income from all sources (please attach 2024 tax forms showing Adjusted Gross Income for all earners in household).
Adjusted Gross Income for all earners in household:*

Below $20,000$20,001-$35,000$35,001-$50,000$50,001-$65,000Over $65,000
Please upload 2024 tax forms here

Cancelof
Number of people in household (adults)*
Number of people in household (children under 18)*
Total camp fees (for child on this scholarship application)
Amount you are requesting (for child on this scholarship application)
Total ASC camp fees for all children in household:
What camp(s) is your child wanting to enroll in?*

CrEATE Lab CampScience Camp
Should be Empty:

2025 Summer Camp Scholarship Application

FINANCIAL INFORMATION