Ondessonk Family Weekend - SI Resources Scholarship Application Form

The Southern Illinois Resource and Advocacy Center is proud to offer scholarship funding to families to attend family weekend programs at Camp Ondessonk. Scholarship covers registration only (unit lodging, all meals on Saturday, breakfast on Sunday, and an event t-shirt). Recipients are responsible for OPTIONAL additional fees related to lodging upgrades or adventure activites.

SCHOLARSHIP POLICIES & PROCEDURES:

Scholarship applications are awarded on a first-come, first-served basis until funds are depleted.
Due to grant restrictions, only families residing in the following counties may apply: Alexander, Franklin, Gallatin, Hardin, Jackson, Johnson, Massac, Pope, Saline, Union, White, Williamson.
Only one scholarship will be awarded per person (not one per event).
Scholarships are only available to families of limited financial means. We are faithful to the premise that families applying for scholarship funding are in need of financial assistance. Please participate honorably.

Please indicate which family weekend you would like to attend.

All event information can be found on our Events Calendar on our website.

Primary Contact Name

First NameLast Name

Date of Birth

Date

Phone Number

Format: (000) 000-0000.

Email

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

County

Diet

Dietary Restrictions

List any Food Allergies

T-Shirt Size

Rows	Name	Relation	Date of Birth	Diet	Allergy	Dietary Restrictions	T-Shirt Size
1
2
3
5
6

Rows	Name	Address	Relation	Date of Birth	Diet	Allergy	Dietary Restrictions	T-Shirt Size
1
2
3
5
6

You can check out photos of our lodging options on our website.

Please select your peferred lodging:

Unit Camping First Choice

Unit Camping Second Choice

Unit Camping Third Choice

Please list friends you want to stay with (if any)

Have you worked with SIRAC in the past year

Have you attended a Camp Ondessonk family weekend in the last 5 years?

How would this experience benefit your family?

How would receiving this scholarship help you?

Camp Ondessonk Family Weekend - Southern IL Resource & Advocacy Center Scholarship Application

Scholarship Information

Contact Information

Attending Family Members of Primary Contact (Same Home Address)

Attending Family/Friends of Primary Contact (Different Home Address)

Lodging & Friend Preferences