2025 Girl Scouts of Greater Atlanta Summer Camp Scholarship Application

Step 1 - Camp Information
Camp Attending (You will need to register through CampInTouch and make a deposit before a scholarship can be approved.)*
Misty Mountain Overnight Dates*
Meriwether Overnight Dates*
Timber Ridge Day Camp & Destination Dates*
Misty Mountain Session Name*
Meriwether Session Name*
Timber Ridge Day Camp Session Name*
Camper's Name*

First NameLast Name
Amount of Scholarship requested*
2024 Household Income*
Special circumstances or reason for requesting the scholarship. Give specific details to support your need:*
2025 Expected annual combined household income?*
Is the amount you expect in 2025 significantly different from 2024 (unemployment, reduced hours, divorce, medical reasons, loss of child support, retiring, death of a spouse, family size, etc.)*
Reason for the change in income.*
What amount can you pay for camp?*

Step 2 - Additional Camper Information
Camper's Troop/Juliette #*
Camper's Date of Birth*

MonthDayYear
Date
Did the camper participate in the Fall 2023 Treats and Keeps Program*
Did/Will the camper participate in the 2024 Cookie Program*
What type of Health Insurance does your camper have?*

AmeriCareCareSourcePeachStateWellCareOther
Has your camper been to Girl Scouts of Greater Atlanta Camps in the past?*
What camp(s) has your camper attended*

Misty Mountain Overnight CampMeriwether Overnight CampTimber Ridge Day Camp
How many years has she attended?*

Step 4 - Household Income Verification
# of adults (over 18) living in your household*
# of children (under 18) living in your household*
Marital status of Guardian*
Are you or a family member a veteran or a member of the military*
Do you receive spousal support*
Amount of Spousal Support received monthly*
Do you receive child support?*
Amount of Child Support received monthly*
Do you receive Food Stamps?*
Amount of Food Stamps received monthly*
Do you receive other income?*
Source of other Income*
Amount of other income per month*
Does your camper receive any of the following:

Temporary Assistance for Needy Families (TANF)Medicaid or Social Security Income (SSI)Reduced or free lunch program at schoolSupplemental Nutrition Assistance Program (SNAP) (also known as Food Stamps)Peachcare for Kids
Signature*

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