Scholarship Application
Scholarships provided by generous donors; including The Alaska Center Education Fund - A - Youth, Pick.Click.Give, First National Bank Of America, Walmart, Rasmuson Foundation & The Cook Inlet Tribal Council.
Email address *
Campers Information
Full Name *
Date of Birth *
(Example: 01/02/2001)
Age *
Ethnicity *
Primary Guardians Information
Full name *
As shown on your license or state ID
Date of Birth *
(Example: 01/02/2001)
Household Mailing Address *
City, State, Postal Code *
Phone number *
(Please list the best contact number)
Alternate Phone Number *
(i.e. Work, Mobile, Home)
Occupation *
(Please list Job Title and Employer)
Secondary Guardians Information (If Applicable)
Full Name
(If applicable)
Date of Birth
(Example: 01/02/2001)
Phone number
(Please list the best contact number for the secondary guardian)
Occupation
(Please list Job Title and Employer)
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