DTMFA Scholarship Application - Summer 2020
Dana Thompson was an artist, activist and advocate. She was a Black woman who sang in a punk rock band. Her work in music, film, theater, and public health enriched many lives. She passed away in July 2019.

To honor her memory, the Dana Thompson Memorial Fund of Awesome (DTMFA) will provide scholarships for youth of color to participate in Rock 'n' Roll Camp for Girls this summer. We are working to diversify Portland's rock scene and keep Dana’s young, vibrant warrior spirit alive by empowering the next generation.

Announcing:
VCR - Virtual Camp ROCKS!
VCR is a 2 week long summer camp presented by Rock 'n' Roll Camp for Girls. The day runs from 9:30am-2pm. Camp will be a mix of instructional videos from volunteers, live Zoom calls for supportive drop-in hours, fun workshops, and live shows. Instruments will be provided.

DTMFA scholarships include full tuition as well as a cash stipend and help with technological and other needs.

**No prior musical experience necessary!**

Campers must be ages 9-17 at the time of their camp session. Campers must identify as girls of color or nonbinary or trans youth of color to be eligible for our scholarship.

Interested families should fill out this form. We will respond within seven calendar days.

Visit www.DTMFA.org to learn more about Dana and our mission. We are a volunteer-run 501(c)3 nonprofit organization.

Check out www.girlsrockcamp.org for more information about camp!

If you have any questions, please email danathompsonmemorialfund@gmail.com.

Application closes June 21, 2020. This deadline may be extended.
Email address *
Camper's first and last name *
Your answer
Age of camper *
Your answer
Camper's pronoun (examples: she, he, they) *
Your answer
First and last name of camper's parent or guardian *
Your answer
Camper's mailing address *
Your answer
Phone number of parent or guardian *
Your answer
Email address of parent or guardian *
Your answer
Does the camper identify as a Girl or as a Nonbinary Youth or Trans Youth? *
Does the camper identify as a Person of Color? *
Are there other siblings in the house who identify as girls of color or trans youth of color and are ages 9-17 who also want to attend camp? They might be eligible for scholarships too. (Camp will be online, but siblings in the same house can rock out together in person!)
If you answered "yes" above, please list siblings' names, ages, pronouns, and contact information if different:
Your answer
What is your #1 preferred camp session? (Note: these are two-week sessions. Also, we can't guarantee you will get to attend during your #1 preferred session.) *
Is there an adult in your household who is interested in volunteering with Rock Camp this summer? (If you select yes or maybe, we will follow up for more info.)
What needs do you have that we can support you with, to ensure a great camp experience? Please note that musical instruments will be provided. (Check all that apply.)
If you checked "other" above, please list any other needs you may have that we can help with.
Your answer
May we photograph and interview the camper(s) and use the resulting photos and text to help publicize the Fund? *
We hope to work closely with our scholarship recipients to make sure they have a fun and empowering experience. Is there anything else we should know about the camper(s)? Feel free to share as much or as little as you are comfortable with sharing, to help us get to know you.
Your answer
What is the best way to contact you (email, phone call, text message)?
Your answer
Thank you!
Thank you for your interest and your time. A copy of your responses will be emailed to you.

You will also be asked to fill out the registration form for Rock 'n' Roll Camp for Girls. We will be in touch to let you know when that form is available, and we can assist with registration if needed.

If any accommodations are needed, please contact us at danathompsonmemorialfund@gmail.com. Requests should be made as soon as possible but at least two weeks prior to the first day of camp.

We will get back to you within seven calendar days of the date you submit this application, to let you know if your camper was selected for a scholarship, and what the next steps are.

If you have any questions please feel free to email us at danathompsonmemorialfund@gmail.com. Thank you!
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy