ACA, New England Financial Assistance Request Form

ACA, New England is committeed to supporting and expanding access and participation at our professional development events and programs.

We want everyone to feel they are welcome and belong at our events. We have financial assistance availalbe to participants who are staff of ACA Accredited/Member camps or individual ACA members. We especially look to support the following:

Camps with multiple program attendees: Having multiple attendees from a camp have shared knowledge or experiences can help lead to greater support and action based on learning.

First-time attendees: We encourage camps to send newer members of their staff, seasonal staff who can benefit from skill develoment, or staff members who have not attended ACA, New England events in the past. Professional development for ALL levels of camp staff is important to us.

We request that scholarship requests are made at least three weeks prior to the date of the program/event to allow time for a decision and processing.

Awards will be made via reimbursement checks mailed no later than two weeks following the award decision/registration for the event or program.

We attempt to make all notifications within 5-7 business days of receiving a request. Once assistance is offered via email, applicants will then have 5 business days to register attendees to indicate confirmation of the scholarship award.

If you need additional assistance beyond 50%, please complete this form AND contact ACA, New England CEO MIchele Rowcliffe (michele@acanewengland.org) with your request.

This application is completely confidential and nothing in this application will be shared publicly. The only people who will see your answers are our internal scholarship fund review committee.

Camp name (if awarded, check will be made out to camp)

If you are not currently with a camp, write "None at this time"

Camp location

CityState

Name of camp contact/person completing this form

First NameLast Name

Email of camp contact/person completing this form

example@example.com

Direct phone number of camp contact/person completing this form

Area CodePhone Number

Camp address where check will be mailed if award is made

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

My camp is a

My camp is an ACA Member/Accredited:

The individual attendee(s) who will benefit from these funds are individual ACA member(s):

If recipients are not individual ACA members and have never been a member, ACA, New England may ask them to activate a one-year free membership as a condition of their award.

Name of ACA, New England program financial assistance is being requested for:

Please share the anticipated names/roles of attendees from the camp that the scholarship funds will benefit:

I am requesting the following level of assistance, which will be paid via a reimbursement check to the camp. (Please select the level that reflects the true need of your camp. We will continue to offer awards until funds are exhausted).

*If you are requesting a level of support beyond 50%, please fill out this form AND email Michele Rowcliffe, CEO of ACA, New England (michele@acanewengland.org), with your request. We will consider these requests on a case-by-case basis.

Tell us a little bit about why you are applying for a scholarship and how receiving a scholarship would impact your camp?

Limited to 300 words0/300

What are your attendees hoping to get out of this event? How do you think attending will contribute to your camp staff's professional development and/or career goals?*

Limited to 200 words0/200

If receiving your assistance as a reimbursement check or registering within 5 business days of notification of your award will be a hardship, please share details here so we can work with you:

I confirm that the information I provided on this form is accurate. I understand that should our camp not utilize the funds as intended or our attendees do not show up for the event/program, we will return funds to ACA, New England.

If awarded scholarship funds, I acknowledge that recipients may be contacted for testimonials or added to outreach lists for future volunteer roles with ACA, New England.

Registration fee/package offered:

INTERNAL ACA USE ONLY

ACA, New England Financial Assistance Request Form

Camp/applicant info

Statement of Need