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Summer 2015 Academy - Camp Scholarship Eligibility Form

 

Name of Student:

Name of Parent(s):

Address:

Phone number:

Email address:

 
Does your family qualify for the free or reduced lunch program at your school?
            

Does your family participate in federal assistance programs? Please check all that apply:
            

Please provide family’s total income from most recent tax return:
                             

Please provide the number of people (adults and children) living in your household: 


Please select which camp you plan to attend:
      

TO BE ANSWERED BY THE ACADEMY/CAMP PARTICIPANT ONLY: Please tell us (in 250-500 words) why you are interested in attending a Clarke University academy or camp and why you feel you are deserving of a scholarship: 

 

If your family qualifies for a full or partial scholarship, a Clarke representative will contact you.
Thank you for taking the time to complete this form. 


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  • STEM Day 2015
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