A brand new Summer Program for Girls ages 13-17

Thank you for your interest in HERricane Arlington! Please complete the following application. Qualified applicants will be admitted on a "rolling" basis:

Applied: Feb 24-Mar 1/Notified March 2
Applied: March 2-March 15/Notified March 16

Admissions will continue until camp is full!

Need more info about the program? Visit our website here: https://departments.arlingtonva.us/oem/herricane/

What is your first name?

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* 1. What is your first name?

What is your last name?

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* 2. What is your last name?

What is your home address?

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* 3. What is your home address?

What is your ZIP code?

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* 4. What is your ZIP code?

Currently, what grade are you in school?

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* 5. Currently, what grade are you in school?

What is your favorite subject in school?

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* 6. What is your favorite subject in school?

What is your e-mail address? (If you don't have an e-mail address, please tell us the best way to contact you.)

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* 7. What is your e-mail address? (If you don't have an e-mail address, please tell us the best way to contact you.)

What is your best quality and why? (3-5 sentences.)

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* 8. What is your best quality and why? (3-5 sentences.)

Who is your role model and why? (5-7 sentences.)

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* 9. Who is your role model and why? (5-7 sentences.)

Describe a time you felt like you were in an emergency (missed the bus, forgot a homework assignment, got lost on a bike trail, etc.), and how you dealt with it. (5-7 sentences.)

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* 10. Describe a time you felt like you were in an emergency (missed the bus, forgot a homework assignment, got lost on a bike trail, etc.), and how you dealt with it. (5-7 sentences.)

Why are you interested in becoming part of HERricane Arlington? (3-5 sentences.)

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* 11. Why are you interested in becoming part of HERricane Arlington? (3-5 sentences.)

I would like to be considered for a scholarship for this program. (Please note that scholarships are limited and are intended for those girls who would not be able to attend camp due to financial hardship.)

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* 12. I would like to be considered for a scholarship for this program. (Please note that scholarships are limited and are intended for those girls who would not be able to attend camp due to financial hardship.)

Please list the name/contact e-mail for a parent or guardian:

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* 13. Please list the name/contact e-mail for a parent or guardian:

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