2026 Envision Summer Camp Scholarship Application Form

2026 Envision Summer Camp Scholarship Application Form

For students in 5th grade through 8th grade during 2025-2026 School Year
Student's Full Name

First NameLast Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Grade during 2025-2026 School Year
T-Shirt Size
Please select your T-Shirt size
Homeroom Teacher

Parent Information
Parent's Name

First NameLast Name
Phone Number
Phone NumberFormat: (000) 000-0000.
Parent's Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Please click on each camp link below to learn about the available camps. (The Rice University link lists several options. Identify one camp you would like to attend.)
University of Houston - Mars Rover Explorers Camp

University of Houston - Full STEM Ahead Camp

Rice University - Multiple Camp Options Available
Please select the location of the camp you would like to attend
Please list the name of the camp you would like to attend
EX: Mars Rover (For Rice University Camps, please identify camp title)
Please list the dates of the camp you would like to attend
Ex: May 5 - May 12 (For camps at Rice University, please ensure spots are available for dates selected.)
Why are you interested in attending summer camp?
How will you use your camp experience to encourage others to try new things?
PARENTAL COMMITMENT
As the parent of the student listed above, I understand that it is my responsibility to make the necessary arrangements to ensure that my child attends the camp for which he/she receives a scholarship. I understand that I will be responsible for reimbursing Envision for the cost of the camp if my child fails to attend and I do not contact Envision at least 30 days prior to the start of camp so that another student may be awarded this opportunity.
I hereby grant Envision permission to use my child's likeness in a photograph, video, or other digital media (“photo”) in any and all of its publications, including web-based publications, without payment or other consideration.
Signature
Email expose2envision@gmail.com if you have any questions regarding the summer scholarship application.
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2026 Envision Summer Camp Scholarship Application Form

PARENTAL COMMITMENT