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2019 Scholarship Application
Lasting Adventures, Inc. recognizes that ALL youth can benefit from the outdoor adventures we provide. We strive to provide these opportunities to those youth who might otherwise be disadvantaged and unable to participate because of cost. All valid applications will be considered for partial and/or full scholarships.
Email address *
Child's Information
Full Name *
Gender *
Age
Grade in school *
Select the Summer Camp you are applying for. *
Please enter the dates for the Summer Camp that you are applying for *
Parent/Guardian Information
Full Name *
Full Address (street, city, state and zip) *
Phone Number *
Email Address *
Gross annual family household income: *
Total monthly expenses: *
Total number of individuals in the household: *
Number of dependants:
Please upload a copy of the first page of your most recent W-2 *
Required
Lasting Adventures, Inc. receives many requests for scholarships. In almost all cases we provide partial scholarships. Please let us know how much you can reasonably pay per child per session without causing a financial dilemma for yourself, but also in respect to our scholarship fund: *
Lasting Adventures, Inc. does not provide transportation to or from our indicated meeting/ending locations. Can you provide, or arrange for, reliable transportation for your child(ren)? *
Please provide us with as much detailed information as possible as to why you are making this request. Please include information about your situation including occupation, employment status/history, extenuating circumstances, etc. All information is confidential. *
What other activities will your child(ren) be involved in this summer. (Please be specific.): *
Please describe why you would like to send your child(ren) to a Lasting Adventures program:
I certify that all information is true and correct and I will notify Lasting Adventures, Inc. immediately if there are any changes to this information.
Please type your full name below as an electronic signature to the above statement.
Date
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We will reply within two weeks of receipt. Please feel free to contact us if you have any questions at staff@lastingadventures.org or 800-513-8651.
A copy of your responses will be emailed to the address you provided.
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