2025 Camp Scholarship Application

50% Camp Scholarship Evaluation Guidelines:
Applicants are evaluated without regard to race, religion, natural origin, gender, or physical ability.
• Funding is limited and scholarships are not guaranteed to all applicants
• Children and families of PVCC board members, staff, or volunteers are not eligible for scholarship assistance
• PVCC scholarships may not be awarded to the same camper for two years in a row
• Incomplete applications will not be considered
• Scholarships will be awarded based on need

Please fill out a separate form for each child/adult/family per camp.

Name of scholarship applicant (child, adult, or family head of household) attending camp:*

First NameLast Name

Did this camper receive a PVCC scholarship last year?*

YesNo

Date of birth:*

Put today's date if you are an adult applying

Mailing address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone number:*

Please enter a valid phone number.

Email address:*

example@example.com

Confirm email address:*

example@example.com

Incoming school grade (if applicant is a student):*

Add NA for adult or family

Camp you are applying for:*

If you are an adult or family applicant please put "N/A" in the Parent/Guardian boxes below.

Name of parent/guardian:*

First NameLast Name

Parent/guardian mailing address (if different from child)

Street Address

Street Address Line 2

Street or PO BoxZip/Postal Code

City and State/Province

Please describe your current level of need and why you are applying for a scholarship. Include any personal details or financial information you feel may be relevant.*

What is the size of your household? Please include all children and adults who live in your home, related or not (grandparents, other relatives, friends, etc.).*

Please indicate your yearly income / financial situation*

Are other members of your household also applying for assistance?*

YesNo

Do you attend a church?*

YesNo

If yes, have you asked your church to help cover the cost of camp?

YesNo

Please provide your church's name, pastor's name, and phone number. We may reach out to your pastor as a reference.*

We would like permission to use photos and videos of campers who are able to attend camp because of a PVCC scholarship. This allows us to put a face to a name and help our donors and supporters celebrate with us that you or your child were able to attend.

Our membership organization, the Christian Camp and Conference Association may supply a portion of the funds used for scholarships and would like to use photos and videos to promote their scholarship program. Please check the box below to give your permission.

Declining will not affect consideration of your scholarship application.

I authorize the use of photos and/or videos taken of me or my child at camp for scholarship promotional purposes.*

YesNo

Today's date:*

Date

If you have questions about this application or our camp programs, please email us at office@pleasantvalleycamp.org or call 360-492-3451. Thank you!

50% Camp Scholarship Application