Camp Scholarship Application 2017

Transcription

1 Camp Scholarship Application 2017 Parent/Guardian Name: Address: Date of Birth (Required): City/State: Zip code: Home Phone: ( ) Cell Phone: ( ) Work Phone: ( ) Number in Household: 2016 annual household income*: $ *Include all sources: AFDC, Alimony, Unemployment Insurance, Workers Compensation, Insurance settlements, Dividends and/or Interest, Employment Wages full and/or parttime, and any other income. List camper(s) seeking scholarship: First Name Last Name Date of Birth Gender Grade (Fall 17) Week %, Session Name (next pg.) (Optional) Are there any special circumstances affecting your family that you would like us to consider when reviewing your application? Calculating your Campership Request Total camp fees for 2017 sessions requested: $ Total amount that applicant can contribute toward camp fees: $ $50 deposit is required per session and camper. Families will be notified before payment is processed. Total Amount of Campership Requested: $ Payment Detail: [ ] Check enclosed [ ] Call for card payment [ ] Charge my card this amount now $ Card Number Expiration Date CVV Submit your application any of the following ways: Mail: Camp Fire Minnesota, Attn: Campership, 4829 Minnetonka Blvd, Suite 202, St. Louis Park, MN info@campfiremn.org, subject line campership application Fax: (952) , Attn: Campership

2 Tanadoona Day Camp & Specialty Day Camps (Monday Friday) Mad Science 6-7 $270 Sky High Adventure 8-9 $260 Outdoor Survival 9-11 $260 Outdoor Cooking 9-11 $260 Sports Galore $260 Outdoor Survival 6-7 $270 Center Stage 8-9 $260 Bullseye Archery Club 9-11 $260 Young Filmmakers $260 Camp Clue: A Detective's Tale 6-7 $270 Bullseye Archery Club 8-9 $260 Mad Science 9-11 $260 Rock Band $260 Tanadoona Day Camp 5-7 $170 Tanadoona Day Camp 8-14 $160 Shelters, Forts and Hideouts 6-7 $270 Sports Galore 8-9 $260 Center Stage 9-11 $260 Sky High Adventure 9-11 $260 Outdoor Cooking $260 Pirate Life 6-7 $270 Mad Science 8-9 $260 Bullseye Archery Club 9-11 $260 Center Stage $ August August August August Outdoor Survival 6-7 $270 Shelters, Forts and Hideouts 8-9 $260 Sports Galore 9-11 $260 Sky High Adventure $260 Shelters, Forts and Hideouts 6-7 $270 Outdoor Survival 8-9 $260 Mad Science 9-11 $260 Outdoor Cooking 9-11 $260 Bullseye Archery Club $260 Pirate Life 6-7 $270 Sky High Adventure 8-9 $260 Center Stage 9-11 $260 Sports Galore 9-11 $260 Young Filmmakers $260 Mad Science 6-7 $270 Bullseye Archery Club 8-9 $260 Outdoor Survival 9-11 $260 Center Stage $260 Camp Clue: A Detective's Tale 6-7 $270 Arts and Crafts 8-9 $260 Sky High Adventure 9-11 $260 Rock Band $260 Tanadoona Day Camp 5-7 $170 Tanadoona Day Camp 8-14 $160

3 Day Camp Extras Extra Week(s) of Attendance Cost per week Lunch $32 (wks 4 & 12: $20) Total cost Before/After Care $40 (wks 4 & 12: $24) Thursday Overnight $45 Not available wks 4, 7, 12 Thursday Overnight + Lunch $70 Not available wks 4, 7, 12 * Please list which week(s) your child is attending. Example: Lunch 1, 3, 7 Total Cost: $96 Overnight Camps Mini-Resident 7-14 $ Resident 7-15 $ Resident 7-15 $ Mini-Resident 7-14 $ Resident 7-15 $ No overnight camps this week Mini-Resident 7-14 $ Resident 7-15 $ Resident 7-15 $ Resident - Teen Week $ Resident 7-15 $ August 6-9 Mini-Resident 7-14 $300 August 6-11 Resident 7-15 $460 August Resident 7-15 $460 August August Mini-Resident 7-14 $300 August Resident 7-15 $460 Leadership Development Programs 8 30 Day Camp Assistant $ & 10 August 6-11 & Determined upon application Counselor In Training (two weeks) (paper application required) Junior Counse lor (paper application required) $ $100 Total Amount Due Session Fee(s) Day Camp Extras + Learn more at Grand Total = Questions? Contact Camp Fire Minnesota at info@campfiremn.org or (612)

4 Please mail all correspondence to: Camp Fire Minnesota Attn: Campership 4829 Minnetonka Blvd. Suite 202 St. Louis Park, MN (612) Camp Fire Minnesota is committed to making camp accessible to as many youth as possible. Our camp scholarships (camperships) provide assistance to families for whom payment of the full tuition is not possible. Camperships are awarded based on financial need and funds available. Please note, campership awards are not guaranteed for applicants. Campers may initially request a campership to attend one session (one week) at Camp Tanadoona. Parents/guardians with more than one camper may apply for one campership per camper. Determining Financial Need: Camp Fire MN knows that many factors beyond income affect a family s finances. We consider all information presented in this application when evaluating campership requests. The 2016 Poverty Guidelines below are a reference point for determining financial assistance. If you do not fit within the below guidelines, but have financial hardship from medical bills, housing expenses, etc. please give those details in the Circumstances section of the application on page 3. What we need from you: 2016 Poverty Guidelines for the 48 Contiguous Sates Persons in Poverty Guideline Family/Household 1 $11,880 2 $16,020 3 $20,160 4 $24,300 5 $28,440 6 $32,580 7 $36,730 8 $40,890 For families/households with more than 8 persons, add $4,160 for each additional person. Page 3 of this application completed in full. A $50 deposit fee per camper. We ask that all families contribute at least the $50 deposit fee per camper per session. We accept checks and credit cards. If you want to pay by credit card, please note that on the application and we will contact you for the card number. You may also put the card number on the payment section of the registration form. What we do not need from you: We do not require personal information such as copies of free lunch eligibility, tax records, etc.

5 How does the campership application work? FAQs 1) Fill out all necessary forms and submit them to the Camp Fire MN office as early as possible. Forms may be sent to our mailing address 4829 Minnetonka Blvd Suite 202, St. Louis Park, MN We also accept forms via at or by fax to The sooner you submit these forms, the more likely we can award you a scholarship! 2) Be patient! We process campership applications in groups and do make awards on a monthly basis beginning in February. 3) You will receive notice on your campership award via or phone. Get ready for summer fun at Camp Tanadoona! If you are granted a campership you will receive an Award Letter with the dollar amount of the scholarship you receive. Your camper(s) will be registered online and you will be required to complete the "Health Form / Camper Information" questions 2 weeks prior to the start of their camp session. At the end of summer, we will send a packet to your house that contains several blank thank you cards and a pre-paid envelope to mail those cards back to us. Thank you cards: These cards must be filled out by the camper(s) or family and mailed back to our office. Failure to return these to the office might affect any future applications you submit for campership funding. Why do we ask for Thank Yous? Our generous donors have asked that we provide feedback from families who receive financial assistance in the form of thank you cards. We encourage you and your camper(s) to be creative and include your favorite aspects of camp with words and drawings! Feel free to use markers, crayons, or colored pencils to make these Thank Yous extra special. What if I want to apply for several weeks of camp? Please submit only one preferred week of camp on your application. We award one session at a time in order to help as many campers as possible. After we have granted camperships to a majority of our families, we will accept campership applications for additional weeks. I received a campership last year. Do I automatically get one this year? No. Camperships are awarded based on financial need in a first come, first serve basis. While we try to give support to all families, we ask that you send your application as soon as possible to make sure it is reviewed while funds are available. My financial circumstances do not fit inside federal poverty guidelines. Can I still apply? Absolutely! We use many different ways to evaluate who qualifies for a campership. If you are paying more for medical bills, housing, or have another situation with financial hardship, let us know in the special circumstances section of the application. I do not need to have my camper s entire session fee covered. Can I apply for a partial scholarship? Yes and in fact we encourage that. Many families contribute as much as they can to their camper s session fees. We can then help with the remaining portion that they can t quite cover.