Enrichment Activity Scholarship Application
Do you need financial assistance in order to send your K-12 aged child who experiences IDD to an after school/weekend activity? The Arc would like to ease that financial burden.

We are offering:

- Tuition scholarships to any after school/weekend activity of your choice

AND

- PSW/DSP funding in order to ensure successful integration

Contact us at 541-283-3056 or office@thearcjackson.org with any questions.

Website: https://thearcjackson.org/

Donation information: https://givebutter.com/the-arc-jackson-county

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Name of the activity that your child is interested in attending. *
How much does the summer camp cost? *
Participant's Name *
Diagnosis *
Birth Date *
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/
DD
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YYYY
Grade *
Sex *
Address *
Parent/Guardian Name(s) *
Phone Number *
Email *
Does your child have a PSW/DSP that can attend camp with them? *
What is the name and phone number of your PSW?
Does your child need supports beyond camp counselors to be successful at camp? *
Tell us why your child would benefit from this scholarship. *
Household Income - Required for funding purposes *
Please identify your race-ethnicity(ies) for funding purposes. Check all that apply or write in your own answer. *
Required
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