Coldstream General Scholarship Application

Coldstream General Scholarship Application

One application per family. If you have any questions, please email info@coldstreamchristiancamp.org. Scholarships will be reviewed on a rolling basis at the beginning of the year and you will be notified by email if you are accepted. Please allow up to 30 days for your application to be processed.

All personal information is confidential to Coldstream staff; however; your impact stories may be anonymously used in giving reports.

For designated scholarships in honor of nurses who have served with Coldstream in the past, click here.
Primary Parent/Guardian Name*
Primary Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
State and County You Reside In*
Secondary Parent/Guardian Name*
if none, please indicate 'no secondary'
Name of Camper #1*
Gender of Camper #1*

MaleFemale
Grade Level of Camper #1 in the Fall*
Name of Camper #2
Gender of Camper #2

MaleFemale
Grade Level of Camper #2 in the Fall
Gender of Camper #3

MaleFemale
Name of Camper #3
Grade Level of Camper #3 in the Fall
Name of Camper #4
Gender of Camper #4

MaleFemale
Grade Level of Camper #4 in the Fall
Applying for more than four campers? Please list them, their genders, and their grades below.
Plea
Please check camps attending*

Day Camp I (PreK-3rd)Elementary Camp Overnight (3rd-5th)Day Camp II (3rd-5th)Middle School Camp (6th-8th)High School Camp (8th-12th)
Check yes to any that apply

One or more of these campers is currently in foster careOne or more of these campers has a parent who is not a legal guardianA parent/guardian is currently an active or retired nurse
Name of Parent's Primary Employer*
if unemployed or on disability, please indicate here
What is your family's net monthly income?*
What is your family's net annual income?*
If your income fluctuates or is influenced by extenuating circumstances, explain here (contract, commission, etc.)
How much of the cost of your child’s camp are you able to contribute? A $25 deposit is required where possible.*
Has your child attended Coldstream Christian Camp in the past? If yes, how has it impacted you and/or your child’s life? If no, how did you hear about CCC?*

0/0
Why do you want your child to attend Coldstream? What type of experience are you/your child looking for?*

0/0
Please explain why you are in need of a sponsorship based on your current circumstances.*

0/0
I understand that portions of my above application may be anonymously used in promotional materials for Coldstream, if selected.*
By checking this box, I signify that I understand submission of application does not guarantee a scholarship. I also understand that, if accepted, a $10 'canteen fee' per camper will not be covered by scholarship money (your camper's canteen balance will be refunded at the end of the week)*

I understand that my submission does not guarantee a full or partial scholarshipI understand I will have to pay a $15 canteen fee per camperI understand that if I receive any form of scholarship, I will still need to complete online registration to secure my camper's spot
Any additional information you would like us to know?

0/0
Coldstream has connections with many organizations that can potentially provide the services described below. When possible, we try to match you with an organization located in your county. Coldstream does not provide these resources and seeks only to facilitate relationships between individuals in need and those who may offer assistance. Checking a box does not guarantee you will be matched with a service provider, but we will do our best!

Assistance with laundryTransportation assistanceGrocery assistanceRelationship counseling or interventionConnecting with a local churchParenting classes/therapies (including co-parenting)Housing assistance
Should be Empty: