2022 Summer Scholarship Application

2022 Summer Scholarship Application

Please complete one form for each camper.
Section 1: Personal Information
Camper Name*

First NameLast Name
Parent/Guardian Name(s)*

First NameLast Name
First NameLast Name
Religious Affiliation (Optional Answer)
Is a parent/guardian a veteran or active military?*

YesNo
Please note you do not need to fill out income/expense sections or submit financial documentation, submit proof of veteran status only)
Section 2: Financial Information
Do you have any additional income not shown in tax returns?*

YesNo
Please note amount and per month or per year.
Retirement Pension
Unemployment
Disability / Social Security
Alimony and/or Child Support
Workmen’s Compensation
Other Income
Do you have any special expenses?*

YesNo
Please note amount and per month or per year and include a letter of explanation and/or documentation. Any information you provide helps us with our decision.
Out of Pocket Medical
Tuition / Childcare
Loan Payment(s)
Other Expenses (please explain)
Documentation: Please email the following documentation. We cannot consider incomplete applications.

Veterans: Please note, veteran’s scholarships are pending funding
- Proof of veteran status (Driver’s License with veteran designation, DD Form 214)
For all others, include all of the following:
- Most recent tax returns (2-page 1040 form only, unless documenting special circumstances) – Please black out Social Security Number
- Completed Fly Your Kite Camp online registration form indicating preferred dates - camper cannot be enrolled without this form
- Completed Camper Information Form – camper cannot be enrolled without this form
Signature*

Clear
Should be Empty:

2022 Summer Scholarship Application

Section 1: Personal Information

Section 2: Financial Information