iSTEM2 Scholarship Application
Take Your Place Summer Camp hosted at Bethany Union and Daley College
Email address *
Camper's Name *
Your answer
Camper's Date of Birth *
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/
DD
/
YYYY
Camper's Grade (as of Fall 2019) *
Camper's School *
Your answer
Amount of Scholarship Assistance Being Requested *
Briefly explain why your camper is deserving of this scholarship. *
Your answer
Parent's Name *
Your answer
Parent's Address *
Your answer
Parent's Employer's Name *
Your answer
Parent's Employment Title *
Your answer
Parent's Primary Phone Number *
Your answer
Parent's Email Address *
Your answer
Have you received a Take Your Place Scholarship in the past *
Thank you for completing this application.
You will receive an email confirmation of your completed application. You will be notified of your scholarship award within 2 - 3 weeks of submitting your application. Thank you for your submission.
A copy of your responses will be emailed to the address you provided.
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