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Scholarship Application

Camper Information:

Household Information:

Privacy Notice:

The following questions help us understand the background of our campers so we can provide appropriate support and scholarships. Your responses are confidential and will only be used for program planning and reporting.

Number of People Living in the Home
1-2
3-4
5-6
7 or More
Primary Caregiver Employment Status:
Full-time employed
Part-time employed
Self-employed
Unemployed
Retired
Does the household receive any of the following assistance? (Select all that apply.)
If my child is selected, I need transportation assistance.
Yes
No
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