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2019 Campership Program
BACKGROUND: This is an opportunity for students to apply for funding (up to $250) to attend a summer camp in Michigan (exceptions are made for specialized camps not in Michigan). These camperships are open to students who are Michigan residents, with an active Michigan IEP, and would otherwise not have an opportunity for a summer camp experience. Transportation is the responsibility of the family and cannot be supported.

DEADLINE: Applications must be electronically submitted by March 15, 2019. Notifications will be mailed by April 30, 2019. Questions? Contact Wendy Minor at: wminor@vbisd.org

Student Information
Student's Name *
Your answer
Teacher's Name *
Your answer
Teacher's Telephone Number *
Your answer
Camp Information
Name of Camp *
Your answer
Address of Camp *
Your answer
Contact Person of Camp *
Your answer
Camp Email *
Your answer
Camp Telephone *
Your answer
Camp Website *
Your answer
Parent or Guardian Information
Parent/Guardian Name *
Your answer
Amount Being Requested *
Your answer
Parent/Guardian Email *
Your answer
Parent/Guardian Address *
Your answer
Parent/Guardian City/State/Zip *
Your answer
Parent/Guardian Telephone *
Your answer
Electronic Signature of Parent/Guardian
I am applying for the MCEC Campership and affirm that the information presented is true and complete to the best of my knowledge. By signing this application, I agree that the information submitted may be used by MCEC for publicity purposes if I am a recipient. This may include photos that I provide from the student’s camp experience. All material received will be destroyed after one year. I also grant the MCEC permission to make still pictures, videotapes, and sound recordings of my student's camp experience.

I, the applicant for this MCEC Campership Program, warrant the truthfulness of the information provided.

Please type your First and Last Name
Your answer
*
Required
Copy of 3 pages from the students' current IEP - please email to Wendy Minor at: wminor@vbisd.org *
Required
Receipt from camp
Other Required Information
How many times has your child attended a summer camp? *
How many people (# number of adults and # of children) are living in your household? *
Your answer
Your household income is:
How would these campership funds be used, other than the registration fee?
Your answer
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