Summer Camp Scholarship

Scholarship Application

Scholarships are need-based and are intended for those who would not be able to attend the camp without financial assistance.

Scholarship applications are due no later than July 10.

contact Info

Child's Name(s)

Age

Address

Parent/Guardian Name

Parent/Guardian Email

Parent/Guardian Home Phone

Cell

household income

$0-25,000$25,000-45,000

$45,000-65,000$65,000+

# of children in the household

required documentation

Please submit a copy of ONE of the following with your scholarship application.

1040 Federal Tax Form(s) for all incomes in the householdPaystubs from the most recent 30 days of employment for all members of the householdEBT or WIC Identification Card

Upload File

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Are there any other considerations the scholarship committee should consider that may affect your ability to afford the tuition? If yes, please explain here.

acknowledgments

I certify, to the best of my knowledge, that the above information is complete and accurate. I understand that financial assistance is based on need. I agree that if I need to cancel my child's enrollment in the program I will do so immediately so that the assistance can be provided to other applicants.

Thank you! Your submission has been received!

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Made Possible with support by

Funded in Part By

Barry Investment Advisors

New Bedford Day Nursery

The Carney Family Charitable Foundation

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