Eligibility Requirements
Please review the table below to determine if you are eligible.If you meet the eligibility criteria, please complete the rest of the form.
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After School Scholarship Form
Personal information asked for in this form is not saved, and is only used to assess eligibility for after school scholarships to BrickEd®. All data is erased after the eligibility determination is made by the BrickEd® Leadership Team.
Name of Child 1 needing the scholarship
*
First Name
Last Name
Name of Child 2 needing the scholarship (if applicable)
First Name
Last Name
Name of Child 3 needing the scholarship (if applicable)
First Name
Last Name
Name of Parent/Guardian making the scholarship request
First Name
Last Name
Email for Parent/Guardian
example@example.com
Phone number for Parent/Guardian
Please enter a valid phone number.
Format: (000) 000-0000.
Enter your household size
Please enter the amount of people in your household
Have you applied for a scholarship with BrickEd® for the summer of 2025? (if yes, we will use the information provided for the scholarship determination previously).
Yes
No
Reason for requesting the scholarship (the more descriptive the better, but please keep it to no more than 200 words.)
Camp type you needing the scholarship for (all students must go to the same camp, scholarship is only made available for one camp)
Please Select
Super STEM Camp (5-12 year olds)
Aeronautics Camp (9-12 year olds)
3D Modeling & Engineering Design (9-12 year olds)
Entrepreneur Camp (5-12 year olds)
Minecraft Camp (9-14 year olds)
Master Builder Camp (9-14 year olds)
Maker Camp (5-8 year olds)
Rockin' Robotics Camp (5-12 year olds)
Student Submission of Work
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Your child must either write at least a paragraph if able, or draw a picture if unable to write, about why he or she are interested in coming to camp at BrickEd® this year. (please be specific based on the desired camp)
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Income Determination: Please upload your 1040 from your 2024 Tax Return, OR December 2024 year to date paystub for all wage earners in the household.
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This information is only used to determine eligibility, and if eligible, at what level the scholarship will be awarded.
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By signing below you understand that scholarships are not guaranteed, and are based on a tiered system based on need. You also attest that all of the information that you have submitted is accurate and true.
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