Scholarship Application 2024

SCHOLARSHIP APPLICATION 2024
Pacific Shores Region 12 Sweet Adelines International’s Mountain Harmony Camp offers a limited number of full and partial scholarships on a first come, first served basis, to families of children age 13+ who cannot afford the cost of camp. Scholarship amounts are limited and applying does not guarantee an award. Awards are given on the following criteria;
- Financial need
- Interest and involvement in vocal music
- Potential growth and development opportunities for the student through the Mountain Harmony Camp experience.
- Space availability
Student Information
First and Last Name
Age
School
School City
Grade
Parent / Guardian Information

NOTE: If applicant is 18 years+ you may fill this section with your own information
Parent Last Name
Parent First Name
Parent Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent Cell Phone
Please enter a valid phone number.
Parent Secondary Phone Number
Please enter a valid phone number.
Email address for notification
example@example.com
How much of the $130 registration fee are you able to pay today?
Student Experience - Please list vocal, music, theater, or dance programs where you are currently enrolled

Two program slots are provided. You may add more information at the end of the program list if needed.
PROGRAM #1
School / Program Name
Teacher / Instructor Name
Phone
Tell us about your position or involvement in program
PROGRAM #2
School / Program Name
Teacher / Instructor Name
Phone
Your position / involovement
You may add additional programs or experience here;
Tell us how you would benefit from attending Mountain Harmony Camp 2024
Parent Permission / Signatures

If applicant is under 18 yrs of age parents must sign
I acknowledge that the above information is true and correct. I give permission for Sweet Adelines International, Pacific Shores Region 12, and/or Mountain Harmony Camp to use my/ my child’s name and other information in this application for reports, grants, press releases, etc. I understand scholarship funds will be in the form of a credit to my registration fee and is not transferable between students or refundable to families.

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Parent must sign if student under age 18
Print Parent Name
Date Parent Signed

MonthDayYear
Date
Student / Applicant Signature

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Print Student Name
Date Student Signed

MonthDayYear
Date
This Scholarship Application Form must be submitted with a completed Camp Registration Form.

For questions call: Cyndi Sharp, Camp Director 925-639-2963
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SCHOLARSHIP APPLICATION 2024

Student Information

Parent / Guardian Information

Student Experience - Please list vocal, music, theater, or dance programs where you are currently enrolled

PROGRAM #1

PROGRAM #2

Parent Permission / Signatures