Summer Camp Scholarship 2026

Summer Camp Scholarship 2026
Application for Summer Camp Scholarship

Please complete the application. The Arc will choose recipients based on timeliness of application, financial need, and overall programming of summer camp chosen. We are not able to cover the entire expense of any program.
Camper's Name*
Date of Birth*

MonthDayYear
Date
Last 4 of Camper's Social Security #*
Race
Gender
Camper's Parent/Guardian*
Parent/Guardian's Phone Number*
Mailing Address*
EMail Address*
example@example.com
Diagnosis of Camper*
What special services does the client currently receive for their diagnosis (medicine, therapy, equipment, etc)? *
Name of Summer Camp Program*
Location of Camp*
Mailing Address for Payment to Camp - please confirm with camp*
Duration of the summer session*
Cost of program*
Amount being requested*
Have you requested a scholarship from the camp? If so, how much have they awarded. *
Brief description of how the summer camp program would benefit the client:*
Annual household income*
Number of adults in household*
The number of people in the household with disabilities*
Please explain financial need if household income is greater than $30,000:*
GuardianParent Signature*

Clear
Date*

MonthDayYear
Date
Would you be willing to provide a photograph? *
PO Box 1365 Asheville, NC 28802 Phone: (828) 253-1255
Should be Empty: