URGENT INC. SUMMER CAMP

SCHOLARSHIP APPLICATION

To be eligible for our camp scholarship, the camper must be a Miami-Dade County resident and attend the full 6 weeks of camp and commit to regular participation, with no more than 3 absences. Please note that scholarships are subject to the availability of funding.

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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. I have already registered and paid the registration fee.

Yes

No, Not Yet

Other (please specify)

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

Yes

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* 9. I can pay this amount for my child(ren) to attend camp:

$0 Due; Full Tuition Scholarship ($690 Scholarship Value)

$345 Due; Partial Tuition Scholarship ($345 Scholarship Value)

$172 Due; Partial Tuition Scholarship ($518 Scholarship Value)

Other (please specify)

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* 10. Is your family experiencing any of the following challenges?

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

Yes

Other (please specify)

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* 12. Are you available to volunteer your time with the program? If yes, what days and times are you available between Monday-Friday, 9am-5pm.

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* 13. 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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* 14. Can you confirm that your camper(s) be able to attend the full six weeks of camp with no more than 3 absences?

Yes

Other (please specify)

URGENT INC. SUMMER CAMP

SCHOLARSHIP APPLICATION

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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. I have already registered and paid the registration fee.

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

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* 9. I can pay this amount for my child(ren) to attend camp:

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* 10. Is your family experiencing any of the following challenges?

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

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* 12. Are you available to volunteer your time with the program? If yes, what days and times are you available between Monday-Friday, 9am-5pm.

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

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* 14. Can you confirm that your camper(s) be able to attend the full six weeks of camp with no more than 3 absences?

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