Camp Possibilities Young Adult Fund Application
Eligible applicants are:
o Those living with T1D
o Between ages of 18-25
o Only those who attend/attended Camp Possibilities
Please expect acknowledgement of application receipt within 7 days.
After committee review, responses are typically available within 30 days.
Email address *
Please enter applicant's First Name *
Your answer
Please enter applicant's Last Name *
Your answer
Best phone number for applicant *
xxx-xxx-xxxx
Your answer
Type of phone listed above *
Applicant mailing address: Number and street only *
Street address, including apartment number if applicable
Your answer
Applicant mailing address: City *
City
Your answer
Applicant mailing address: State *
Street address
Applicant mailing address: Zip code *
Please list your 5-digit zipcode
Your answer
Applicant Age *
What is your age as of the date of this application?
Your answer
Applicant Date of Birth *
Please enter your birth date.
MM
/
DD
/
YYYY
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