JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Camp Tuku Scholarship Application
While camp is an impactful experience for kids we know the costs of camp may be a financial burden for some families. At Camp Tuku we strive to raise scholarship funds annually to assist underserved families with the cost of camp with partial scholarships. Please note: We typically use qualification for Free and Reduced Lunch as an imperfect proxy for qualification purposes. If your family is within a small margin of qualification please feel free to still apply. All applications will be considered, but we are not able to guarantee funding.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Camper Name
*
Your answer
Camper Date of Birth
*
MM
/
DD
/
YYYY
Camper Gender
*
Male
Female
Other:
Required
Parent Name
*
Your answer
Parent Phone Number
*
Your answer
Address
*
Your answer
Other Children in the Family? Please list ages and names. Please specify if they live at home.
*
Your answer
Child's Race/Ethnicity (please check all that apply) *This question is optional and is used for statistical purposes only*
Caucasian/White
Asian/Pacific Islander
Hispanic/Latino/a/x
African American/Black
First Peoples/American Indian/Alaskan Native
South Asian
Middle Eastern
Other
Gross monthly family income
*
Your answer
If any of the following additional income applies please describe the total amount per month: Welfare AFDC, Child Support, Support from Spouse, Social Security, Income from Second Job, Other Income.
*
Your answer
Please provide your total monthly income including employment and all additional income mentioned above.
*
Your answer
Please specify the total amount you are able to pay for 1 week of camp.
*
Your answer
Briefly explain the reason for your request below
*
Your answer
Please email your last two pay stubs & a the first two pages of your most recent tax return (you may block out social security numbers/addresses/DOB and other PII) to
ops@camptuku.org
. Acknowledge you have completed this step by typing your name below.
*
Your answer
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Camp Tuku.
Report Abuse
Forms
