Camp Scholarships at The Whaling Museum

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

The Museum exists to be a resource to the entire community!

We gratefully acknowledge major support from private donations to our Scholarship Fund.

-- Full or partial scholarships depend upon a family's position of financial need, how much the child would benefit from the program, and other factors.
-- Please enter one application per child.
-- Applications are reviewed on a rolling basis throughout the year, and are assigned based on funds and space availability.
-- Spaces are limited, and early applications are strongly encouraged. Submitting an application does not guarantee participation.
-- Scholarship recipients will be notified by email. If your child receives a scholarship, we will contact you with instructions on how to register. If you have not received a response more than one month after your application, please reach out to info@cshwhalingmuseum.org to inquire about your application's status.

All of the information entered is confidential.

Parent or Legal Guardian's Name *

Street Address *

City *

State *

Zip Code *

Email *

Phone Number (cell) *

Phone Number (home) *

Child's Name *

Child's Birthdate *

Grade Child is Currently In or Last Completed: *

What is the child's ethnicity (or ethnicities)?

Ethnic background is taken into consideration to help grow our program's diversity. Choose all that apply.

Caucasian

African-American

Hispanic or Latino/a

Native American

Native Hawaiian or Pacific Islander

Other:

Which camp are you applying for? *

Title and Date of Camp:

In 3 or 4 sentences, please tell us about your child's interest in the specific camp program you are applying for. How and why do you think s/he would benefit from the program? *

Briefly explain circumstances which would indicate scholarship need. *

What are you able to contribute towards the cost of the week of camp? *

Please enter a dollar amount for the week. (If you are not able to pay partially, enter "0")

Does your child have any special needs, behavioral issues, or learning disabilities that we should be aware of?

Do you receive any public assistance?

Choose all that apply. You may be asked to send proof of current enrollment in one of these programs. (If these do not apply to you, skip the question.)

Free or Reduced Price School Meals

Section 8 housing

TANF - Temporary Assistance for Needy Families

General Assistance

WIC - Supplemental Nutrition Program for Women, Infants, and Children

Children's Medicaid or Medical Assistance

SSI - Supplemental Security Income

Supplemental Nutrition Assistance Program (SNAP) / Food Stamps

Headstart

Foster children who are the legal responsibility of a welfare agency or court

Other:

Do any members of the immediate family serve in the Military?

Details:

Has the child ever received a camp scholarship before at the museum? *

If so, when?

Any other comments you would like to share with us:

How did you hear about our scholarship program? *

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of The Whaling Museum. Report Abuse

Forms