2020 Camp Financial Assistance Application (Full)

NexGen Eagles Leadership Academy Financial Aid Request

Summer 2026
Camper Name

First NameLast Name
Camper Date of Birth

MonthDayYear
Date
Camper Current Grade
Parent/Guardian Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Format: (000) 000-0000.
Email
example@example.com
Which Academy Weeks Are you Interested in?
Financial Information
Please Note: Financial assistance is not guaranteed. It will be determined based on the viability of your application. Assistance will be given based on the availability of funds and level of need.

Please write a descriptive account of why your child is in need of financial assistance.

This application is confidential. The information on the form will not be disseminated.

We will notify applicants of the award amount within 3-5 days.

Need is the most important priority for the Financial Assistance Program.
Please make a brief statement describing why your child is in need of financial assistance.
To be Completed by Parent / Guardian
What is your occupation / job title?
What is spouse's occupation?

What is the combined/total annual household income: Check the appropriate box.

Rows	Under $20,000	$20,000-$30,000	$30,000-$40,000	$40,000 and Up
Income

The amount of assistance is based off a sliding scale.

The items listed below are to be transferred from your 1040: (Includes spouse's information is applicable).
Number of Dependents in the household
Line 6C on 1040, Line 5on 1040 EZ or Line 6C on 1040A.
Adjusted Gross Income
Line 37 on 1040, Line 4 on 1040 EZ or Line 21 on 1040 A.
Total Income
Line 22 on 1040 or Line 15 on 1040 A.
List Special Circumstances (If Any)
Do you have other children attending camp this year?
By signing this document, I agree that the information is accurate.
Parent / Guardian Name

First NameLast Name
Parent / Guardian Signature
Should be Empty:

NexGen Eagles Leadership Academy Financial Aid Request