Global Challenges Summer Camp Scholarship Application | Honors Program

Camper's First Name Required

Camper's Last Name Required

Parent/Guardian's First Name Required

Parent/Guardian's Last Name Required

Parent/Guardian Email Required

Parent/Guardian Phone Number Required

Please briefly explain why you need a scholarship. Required

Is the camper eligible for free and reduced lunch at school? If yes, documentation is required. Required

What is the adjusted gross income for your household? (Line 37 on Form 1040 of 2021 tax return) Required

Are you a single income family? Required

If applicable, please explain why there has been a change of income since your last tax statement.

To sign this form, please type your (Parent/Guardian's) full name. Required

Today's Date Required

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