Alexandria Summer Camp Scholarship Application
APPLICANT INFORMATION
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To be filled out by parent or guardian
:
Date Today (mm/dd/yyyy):
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Camper's Name:
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Name of Parent or Guardian:
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Address:
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City:
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State:
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Zip:
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Daytime Telephone:
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Evening Telephone:
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Email Address:
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Place of Employment:
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Occupation:
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Please check one:
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Annual Household Income:
Under $20,000
$20,000 - 35,000
$35,000 - 50,000
Over $50,000
Household Information
Number in household:
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Number of children under 18:
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Additional Comments:
Please include a letter of intent from the summer camp applicant explaining why he or she wishes to attend camp, and a letter of recomendation from the applicant's teacher, guidance counselor, or school advisor.
All letters are due by Tuesday, May 14, 2013.
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File size must not exceed 4MB. We accept docx, doc, txt, xls, xlsx, pdf , jpg, gif, png files.
File:
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