Program Scholarship Application

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Summer 2027 scholarship applications are not currently open.

Please use this form to apply for scholarships for Harvest Camp or Girls in STEM programs.

Scholarships are designed to enable as many children as possible to have a KSS program experience by providing financial assistance to families with demonstrated financial need.

Please review the KSS Scholarship webpage for more details about the application process and guidelines for receiving a scholarship. If you need assistance filling out the application or have questions you can also contact us at (970)468-2098 or Support@KeystoneScienceSchool.org.

Parent/ Guardian Name

First NameLast Name

Parent/ Guardian Phone Number

Parent/ Guardian Email

example@example.com

City of residence

State of residence

Primary language spoken in the home

Total number of children in the household

Total number of adults in the household

Does your family qualify for any of the following federal or state-based assistance?

Please select the income range of your household

In detail, please explain why financial aid is necessary for your family. Include relevant information about your current employment status and your financial situation.

Where would your child be if not attending a KSS program during the summer? (Select most likely option)

What do you and your child hope to gain from this KSS experience?

Please let us know if there is any additional information you would like us to know about your application:

How many children are you applying to a scholarship for?

What is your participant(s) ethnicity?

Do your participant(s) attend school in the Summit School District?

Participant 1

1: Participant Name

1: What grade will they be in Fall 2026?

1: Gender Identity

1: What program are you applying for? *For Summer Programs, use the grade your camper is entering in Fall 2026*

1: Desired Sessions (exact dates are program dependent):

1: Has the participant previously attended KSS programs?

Participant 2

2: Participant Name

2: What grade will they be in Fall 2026?

2: Gender Identity

2: What program are you applying for? *For Summer Programs, use the grade your camper is entering in Fall 2026*

2: Desired Sessions (exact dates are program dependent):

2: Has the participant previously attended KSS programs?

Participant 3

3: Participant Name

3: What grade will they be in Fall 2026?

3: Gender Identity

3: What program are you applying for? *For summer programs, use the grade your camper is entering in Fall 2026*

3: Desired Sessions (exact dates are program dependent):

3: Has the participant previously attended KSS programs?

Participant 4

4: Participant Name

4: What grade will they be in fall 2025?

4: Gender Identity

4: What program are you applying for? *For summer programs, use the grade your camper is entering in Fall 2026*

4: Desired Sessions (exact dates are program dependent):

4: Has the participant previously attended KSS programs?

Please note:

Some data and information will be included in grant reports. Personal identification will not be shared in this process.
All financial information on this form is confidential and is used exclusively by Keystone Science School and a committee of volunteers to assess scholarship eligibility.
If a child is awarded a scholarship, the recipient will be asked to write about his/her experience so we can share this with our donors. Names will be kept confidential at all times.

Signature

Date

Scholarship Application

Family Information

Financial Information

Childcare & Outcomes

Participant Information

Participant 1

Participant 2

Participant 3

Participant 4