URGENT INC. CAMP SCHOLARSHIP APPLICATION

2022 SUMMER CAMP SCHOLARSHIP APPLICATION

All scholarships depend on availability of funding and applicant must be a Miami Dade County resident. Camper must attend full 6 weeks of camp with no more than 3 absences between June 21-July 29, 2022 as part of eligibility requirements for scholarship.

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* 1. PARENT/CAREGIVER LAST NAME

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* 2. PARENT/CAREGIVER FIRST NAME

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* 3. PARENT/CAREGIVER PHONE NUMBER

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* 4. PARENT/CAREGIVER EMAIL

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* 5. Number of children attending camp

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* 6. LIST Child(ren) First and Last Name(s)

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* 7. My child(ren) receive free or reduced lunch

Yes

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* 8. Type of Tuition Scholarship Requested

Full Tuition Scholarship ($0 Due; $480 Value)

Partial Tuition Scholarship ($240 Due; $240 Value)

Extended Partial Tuition Scholarship ($140 Due: $360 Value)

Other (please specify)

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* 9. Does your family meet any of the following circumstances?

Experiencing housing insecurity (ex. no permanent home, temporary housing, paying more than 30% of income on rent)

Experiencing economic insecurity (ex. working less than 40 hours a week , earning minimum wage, etc.)

Military or Veteran Family

Foster Family/Care

Resident of Miami Gardens/Referred by Florida Memorial University

Other (please specify)

None of the above

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* 10. Are you available to participate in fundraising activities?

Yes

Other (please specify)

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* 11. Are you available to volunteer your time with the program? If yes, what days and times are you available between Monday-Friday, 9am-3pm.

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* 12. If yes, what skills, talents or assets would you be able to share with our campers?

Visual, performing arts

Career Day presenter

Event volunteer: talent show, camp expo, chaperone fieldtrip

Special event: makeup, costume help

Fitness activities: dance, cheer, outdoor games

Donate snacks for talent show and end of camp show

Other (please specify)

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* 13. Can you confirm that your camper will attend the full six weeks of camp with no more than 3 absences?

Yes

Other (please specify)

URGENT INC. CAMP SCHOLARSHIP APPLICATION

2022 SUMMER CAMP SCHOLARSHIP APPLICATION

Question Title

* 1. PARENT/CAREGIVER LAST NAME

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* 2. PARENT/CAREGIVER FIRST NAME

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* 3. PARENT/CAREGIVER PHONE NUMBER

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* 4. PARENT/CAREGIVER EMAIL

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* 5. Number of children attending camp

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* 6. LIST Child(ren) First and Last Name(s)

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* 7. My child(ren) receive free or reduced lunch

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* 8. Type of Tuition Scholarship Requested

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* 9. Does your family meet any of the following circumstances?

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* 10. Are you available to participate in fundraising activities?

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* 11. Are you available to volunteer your time with the program? If yes, what days and times are you available between Monday-Friday, 9am-3pm.

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* 12. If yes, what skills, talents or assets would you be able to share with our campers?

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* 13. Can you confirm that your camper will attend the full six weeks of camp with no more than 3 absences?

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* 14. Please share 1-2 sentences about why you would like your child to attend URGENT, Inc's summer camp.