Adler Camp Scholarship Application 2019
The entire form must be completed for consideration.

Full and partial scholarships are available based on financial need and program availability.

Every effort will be made to notify applicants as to their status by March 15.

For details about Adler Planetarium Summer Camps visit

If you are applying for multiple children, please complete a separate application for each child.

These scholarships are for ADLER camps only. There is a separate application for Summer Worlds Tour. Please visit to apply for those camps.

Email address *
Contact Information
Please ensure that the contact information you provide us is accurate. The email address entered above will be used to notify you about your application status.
Parent/ Guardian First and Last Name *
Your answer
Street Address *
Your answer
Address Line 2 *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Preferred email address for camp information and scholarship updates. *
Your answer
Scholarship Information
Please complete this section fully and accurately.
Total Yearly Household Income *
Your answer
Number of Persons Living in Household *
Your answer
Describe the basis for your application for this financial need-based scholarship. What and how much you share is up to you, but you may wish to include any factors influencing your request, including any unusual circumstances. *
Your answer
Describe why you are interested in Adler's summer camps for this child. If the child is old enough to express themselves clearly through writing, they are welcome to write this section! *
Your answer
Camper's Name *
Your answer
Camper's Date of Birth *
Camper's Grade/Age *
Select the age/grade-appropriate camp(s) you are applying for.
Select one or more sessions that fit your schedule and child's interest, but be sure to choose only sessions your child would be enthusiastically able to attend if offered a scholarship.

Please remember that these age/grade levels are referring to the child's age at the time of camp for preschoolers and child's grade in the Fall of 2019 for all others.

A copy of your responses will be emailed to the address you provided.
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