Boys & Girls Clubs of Western Pennsylvania Summer Day Camp Scholarship Request
To be considered for scholarship for summer day camp, please fill out the form below. Scholarships will be offered to a limited number of campers at every Branch of Boys & Girls Clubs of Western Pennsylvania. Proof of income in the form of a pay stub, W2 or tax return is required to access scholarship funding and prove financial need before scholarship funds are released. A photo showing income verification can be sent to or shown to your local Branch Director after you apply. Scholarship awardees are expected to have good attendance to summer day camp as part of the requirements of accepting the scholarship or may lose scholarship funds.

All scholarship applicants will be notified within a week of application. Scholarship applications are due by May 24, 2019. Please direct any questions about this process to your Branch Director.

Email address *
Child's Name (First/Last)
Your answer
Your Name (First/Last)
Your answer
Relationship to Child
Your answer
Branch of Boys & Girls Clubs of Western PA
Age of Child
Your answer
Name of School/District Child Attends
Your answer
Why are you requesting scholarship funds?
Your answer
What is the amount of your request?
Anything else you want to share?
Your answer
Never submit passwords through Google Forms.
This form was created inside of Boys and Girls Club of Western Pennsylvania. Report Abuse - Terms of Service