Middle School Summer Camp Scholarship Application

Middle School Summer Camp Scholarship Application

Directions: Please fill out the entire application by March 1. Late or incomplete applications may not be accepted.
Full Name of Teen*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Parent's Name*

First NameLast Name
Parent's E-mail*
Contact Phone Number

Area CodePhone Number
Current Grade*
Have you attended Summer Camp camp before?*

YESNO
If yes, how many times?*

1234
Have you participated in fundraising for Summer Camp?*

YESNO
Please be honest when determining your financial need so that we can assist as many people as possible.*

1/4 Scholarship ($180)1/2 Scholarship ($360)3/4 Scholarship ($540)
Please explain your need for this scholarship below (750 Word Limit)*

0/750
Should be Empty: