2017 Summer Camp Scholarship Application
Gallatin Valley Farm to School believes that every child should have the opportunity to engage in growing, harvesting, preparing and eating fresh food during our garden-based summer camps. We are happy to be able to award a limited number of partial scholarships to help deserving children attend our camps. We also have payment plans available.

Scholarships are awarded based on demonstrated financial need and availability. All families in need of financial assistance may submit a scholarship application, though completion of the form does not guarantee an award. The form must be complete to be processed.

Please email erin@gvfarmtoschool.org with questions.

Child's Basic Information
Child's First Name
Your answer
Child's Last Name
Your answer
Grade Level (fall 2017)
Your answer
Birthdate
MM
/
DD
/
YYYY
Child's School
Your answer
Parent/Guardian Information
Primary Adult's First Name
Your answer
Primary Adult's Last Name
Your answer
Primary Adult's Relationship to Child
Mailing Address 1
Your answer
Mailing Address 2
Your answer
Primary Adult's Phone Number
Your answer
Primary Adult's Email
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Secondary Adult's First Name
Your answer
Secondary Adult's Last Name
Your answer
Secondary Adult's Phone Number
Your answer
Secondary Adult's Email
Your answer
Program Information
For which program session(s) are you seeking a scholarship?
Required
Personal Statements
Student: Why are you excited to come to this summer camp?
Please have your student respond to this question.
Your answer
Parent: How will your child benefit from attending this summer camp and why would you like your child to attend?
Your answer
Is there anything else you'd like to tell us?
Your answer
Household Information
Number of Adults (Over 18) in Your Home
Your answer
Number of Children (Under 18) in Your Home
Your answer
What is Your Household's Monthly Salary (take home pay, after deductions)?
Your answer
Is there anything else you would like us to know about your family situation?
Your answer
How much are you able to pay?
Your answer
Amount of Scholarship Requested
Your answer
Verification of Information Provided
By initialing below, you acknowledge that all information provided on this form is accurate and complete.
Please provide your initials below.
Your answer
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