Injured Military Camp Scholarship Application
Use this form to request a scholarship and/or travel stipend to attend our Injured Military Camp on May 30-June 2, 2019
What is your disability? (check all that apply)
Spinal Cord Injury
The registration fee for this event and three nights' hotel is $25. How much, if any, can you afford to pay?
Travel stipends of up to $250 are available for this event. Do you need a travel stipend?
Approximately how much are you requesting? Maximum amount is $250.
How do you plan to travel to camp?
I plan to fly to Chicago and will need ground transportation to get to the camp
I plan to fly to Chicago and will get myself to the camp
I plan to drive to the camp
I plan to get dropped off at the camp
I plan to ride the Dare2tri bus from Chicago
Please describe your financial need and how a scholarship will help you to achieve your goals
Household size (# of people in household, including yourself)
Annual Household Income
Are you eligible for any of the following (check all that apply):
SNAP/reduced school lunch program
Do you plan to participate in other Dare2tri programming this year (camps, practices, races, etc.)? If so, please list below.
Donations and grants are used to cover the cost of race scholarships. If requested, are you willing to write a thank-you note or provide a testimonial?
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