MFML 2017 Scholarship Application
It is MFML's mission to be accessible to all students. Applying for financial aid will not affect your chances of getting into a program and we encourage you to ask for assistance if you need it. You may be contacted for a follow-up phone interview. If you are able to pay the full tuition of $425, do not fill out this form. We cannot grant financial aid due to an applicant being enrolled in multiple summer programs, or other situations involving elective activities. However, if you feel you need financial assistance, please submit a financial aid form with an explanation, and we will review it. Due to our limited funds, we cannot afford to grant every financial aid request, and we prioritize families with the greatest need.
This application has 2 parts : The first is for the parent or guardian to fill out, the second is to be filled out by the camp applicant.
This page of the application requests financial and medical information, and is to be filled out by the parent or guardian. The following page contains the camp questionnaire, and is to be filled out by the camp applicant.
Name of camp applicant:
Your answer
Age of camp applicant:
Your answer
Camp applicant e-mail:
Your answer
Please indicate if the applicant prefers to be addressed by a different first name or nickname:
Your answer
Parent name:
Your answer
Parent e-mail:
Your answer
Parent phone number:
Your answer
What session(s) are you applying for?
Check 1 box to apply for 1 session, or both to apply for both.
Required
Scholarship Information
Annual household income:
Your answer
Number of dependents in household:
Your answer
Number of adults in household:
Your answer
Are you a single income household?
Do you receive child support for this camp applicant?
Your answer
Do you participate in the free lunch program at your school?
How much can you pay toward your camper's tuition? You can pay in as many installments as necessary, as long as the balance is paid BEFORE camp begins.
Enter an amount between $0 and $425. Example: $100
Your answer
Additional information (Optional) :
Please use this space to describe extenuating circumstances or anything else you would like us to know regarding your application.
Your answer
Medical Information
Emergency contact:
Your answer
Physician's name:
Your answer
Physician's contact information:
Your answer
Do you have any medical concerns?
Your answer
If your child is on any medication(s) to treat any of the condition(s) mentioned above, please list medication(s) and specify condition(s)
Your answer
So that we may best serve your child, please let us know any specific needs he or she may have in any emotional, behavioral, social or learning areas.
Your answer
In case of medical emergency, I request that every attempt be made to contact parents/guardians first. If parents/guardians cannot be reached, I understand that St. Andrew's Summer Programs will contact the emergency person listed and if he/she cannot be reached, my doctor. If no one is available, I authorize St. Andrew's to take my student to the nearest medical emergency facility and to consent to any medical treatment necessary. I agree that the financial responsibility for any medical treatment is mine, and I release St. Andrew's from any claims against the Summer Programs resulting from injury.
Required
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