TIC Campership Application
Thank you for requesting a campership application for our summer camp. The TIC Summer
Campership Program is supported by generous friends of TIC Summer Camp as
well as funds allocated by TIC Summer Camp itself. It is our hope that each family
would pay what they can to help us extend financial assistance to as many families as
possible. The application below helps us determine how to distribute the funds and is
considered completely private.

Scholarships are reviewed and awarded on a rolling basis until the funds are depleted. We
recommend submitting your application as soon as possible as funds are usually distributed by
April 15.

Today's Date *
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Name of Applicant *
Your answer
Date of Birth *
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Grade Next September *
School *
Your answer
Name(s) of Parent(s)/Guardian(s) *
Your answer
Parent(s)/Guardian(s) address, phone, and email *
Your answer
Which site would you prefer to attend? *
For camper: Please explain why you would like to attend TIC Summer Camp, describing your interest in technology instruction and how you think the camp program might benefit you *
Your answer
Does your child receive any financial aid at school? *
Current gross family income: *
Your answer
Number of dependents *
Your answer
Number of dependent children attending TIC Summer Camp *
Your answer
Has the camper attended TIC Summer Camp before? *
Has this camper received TIC Summer Camp scholarships in the past? *
How much can you afford to pay (per child) for the two week session of camp? *
Your answer
Would a payment plan be of assistance? *
Signature: *
By typing your name you are stating that all provided information is accurate.
Your answer
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