Odyssey Teen Camp 2019 Financial Assistance Application
Thank you for your interest in Odyssey Teen Camp. Please take the time to thoroughly read through all this information before filling out the application. Odyssey Teen Camp is committed to offering partial scholarships to families with limited finances. Your eligibility depends on the household gross annual income. Please note that we will accept as many applicants as we can, but can only accept a finite number of applicants. Please consider this before you apply. All applicants will be carefully considered by our Financial Aid committee and notified by email or telephone. We thank you for your patience as we carefully consider each application.
Teenager's Name *
Your answer
Teen's Date of Birth *
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Teen's Gender
Your answer
Full Name of Parent/Guardian *
Your answer
Address 1 *
Your answer
Address 2 (Apt. #)
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Country
(If outside the United States)
Your answer
Parent/Guardian Phone Number *
Your answer
Parent/Guardian E-mail Address *
Your answer
Parent/Guardian Occupation *
Your answer
Parent/Guardian Employer *
Your answer
Total annual household income for most recent year shown on tax forms *
Your answer
Total number of people in household as shown on tax forms *
Your answer
What dollar amount can your family commit to paying for camp this season?
Your answer
Which session will you be applying for? *
Please share with us the reasons for your financial assistance request. *
Your answer
Personal Statement: In the space provided please explain why you want to attend Odyssey Teen Camp. What are your interests? What about teen camp are you excited about? *
To be completed by teen applicant
Your answer
By signing below, I certify that all above information is true and correct, that all income information is true and reported. I understand that all information will be kept strictly confidential and is only used to determine scholarship eligibility. *
Parent Signature
Your answer
Date Signed by Parent *
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YYYY
Teen Applicant Signature *
Your answer
Date Signed by Teen Applicant *
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Submit
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