2020 Cal Youth Summer Camp Scholarship Application Form

Application Instructions

Step 1: Submit one online application form per family.
Step 2: Upload required documentation to this form, or mail the documents in to the address below.

Scholarship requests and supplemental materials for first review are due by Wednesday, April 15th, 2020 (applications can still be submitted after this date.)
Attn: Camp Scholarships Office
2301 Bancroft Way, #4420
Berkeley, CA, 94720-4420

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* 1. Parent/Guardian Name (First & Last)

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* 2. Parent/Guardian Email Address

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* 3. Parent/Guardian Phone Number

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* 4. Camper Name (First & Last)
If multiple campers, please separate by comma

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* 5. How many dependents do you have in your household?

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* 6. To which camp(s) are you requesting to apply a scholarship?
Please note that awards are not valid for Science & Sports (S2) Camp, Social Skills Camp, Aquatics Swim Lessons or Extended Care.

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* 7. Are you or anyone else in your family currently receiving financial aid or scholarships from any other sources? If so, please specify.
Examples: Free and Reduced Lunches, ATDP Scholarship, Pell Grant, Bananas, SSVAFDC

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* 8. Which session date(s) do you wish to attend?
(If two-week camp, please select both weeks of camp session)

6/8 - 6/12

6/15 - 6/19

6/22 - 6/26

6/29 - 7/2

7/6 - 7/10

7/13 - 7/17

7/20- 7/24

7/27-7/31

8/3 - 8/7

8/10 - 8/14

ATDP Elementary Divison Sports and Arts Camp 7/13-7/31 2020

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* 9. Previous year's Tax Form OR ATDP Statement showing financial aid award

Online upload of supplemental materials. ATDP Statement for ATDP Cal Adventures Program applicants only.

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

Choose File

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* 10. Verification of scholarship or financial assistance from additional sources

Online upload of supplemental materials

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

Choose File

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* 11. Letter from child explaining interest in class/program

Online upload of supplemental materials

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

Choose File

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* 12. Letter from the parent/guardian explaining how the child would benefit from participation in our program

Online upload of supplemental materials

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

Choose File

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* 13. I understand that I will be required to complete the end of season camp survey to be eligible for future scholarship awards.

Yes

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* 14. Your Mailing Address for camp registration information to be sent to:

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 1. Parent/Guardian Name (First & Last)

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* 2. Parent/Guardian Email Address

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* 3. Parent/Guardian Phone Number

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* 4. Camper Name (First & Last) If multiple campers, please separate by comma

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* 5. How many dependents do you have in your household?

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* 6. To which camp(s) are you requesting to apply a scholarship?Please note that awards are not valid for Science & Sports (S2) Camp, Social Skills Camp, Aquatics Swim Lessons or Extended Care.

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* 7. Are you or anyone else in your family currently receiving financial aid or scholarships from any other sources? If so, please specify.Examples: Free and Reduced Lunches, ATDP Scholarship, Pell Grant, Bananas, SSVAFDC

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* 8. Which session date(s) do you wish to attend?(If two-week camp, please select both weeks of camp session)

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* 9. Previous year's Tax Form OR ATDP Statement showing financial aid award

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* 10. Verification of scholarship or financial assistance from additional sources

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* 11. Letter from child explaining interest in class/program

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* 12. Letter from the parent/guardian explaining how the child would benefit from participation in our program

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* 13. I understand that I will be required to complete the end of season camp survey to be eligible for future scholarship awards.

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* 14. Your Mailing Address for camp registration information to be sent to:

* 4. Camper Name (First & Last)
If multiple campers, please separate by comma

* 6. To which camp(s) are you requesting to apply a scholarship?
Please note that awards are not valid for Science & Sports (S2) Camp, Social Skills Camp, Aquatics Swim Lessons or Extended Care.

* 7. Are you or anyone else in your family currently receiving financial aid or scholarships from any other sources? If so, please specify.
Examples: Free and Reduced Lunches, ATDP Scholarship, Pell Grant, Bananas, SSVAFDC

* 8. Which session date(s) do you wish to attend?
(If two-week camp, please select both weeks of camp session)