Clarke Academy Summer Camps


Summer 2016 Academy - Camp Scholarship Eligibility Form


Name of Student:

Name of Parent(s):


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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