The Friends of Hog Island Juanita Roushdy Scholarship for Indigenous People
For people who are on the tribal census of a federally recognized North American tribe to attend Joy of Birding (6/21/26 – 6/26/26) or similar 2026 camp program at the Hog Island Audubon Camp in Bremen, Maine, USA. Camp tuition is covered 100%, travel arrangements may be provided.
Applicant Information:
Today's Date
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Month
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Day
Year
Date
Name on legal documents:
*
First Name
Surname
What do you prefer to be called (if different from your name above):
Preferred Gender:
Male
Female
Non-binary
I'd rather not say
Birthdate
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Month
-
Day
Year
Date
Physical Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mailing Address (if different from above)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
E-mail
example@example.com
Best way to contact you:
Phone
Email
Mailing
Other
Please let us know the best way and time to reach you if we have questions about your application or would like to award you the scholarship:
If the dates for Joy of Birding (6/21/26 – 6/26/26) do not work for your schedule, please suggest another camp week that you may be interested in attending:
See schedule here: https://hogisland.audubon.org/programs/camp
Please tell us a bit about your background, interests, and personal goals. How has your community, culture, or family shaped who you are today?
Please tell us why the experience of attending a birding and nature camp at Hog Island in Muscongus Bay would be meaningful to you. How do you hope this experience will impact you personally or in your community?
Are there parts of your identity you’d like to celebrate or explore more while at camp?
Will you need help with transportation to and from the Audubon camp?
Yes
No
Maybe
Please give references of any two people whom you feel would be able to verify your indigenous background and attest to your character:
Full Name
Email
Contact Number
Relationship to you
1
2
Are you able and willing to provide a testimonial and photo from your camp experience? You may select more than one option below.
Yes, I can provide an oral testimonial by phone
Yes, I can provide a written testimonial by email
I'd like to be kept anonymous in my testimonial
I'm not comfortable with providing a testimonial
How did you hear about us?
*
Please Select
Audubon Seabird Institute staff
Hog Island website
Internet Search
Friends of Hog Island website
Friend
Other
Please be more specific:
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