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SCI Novi - RWYC 2023 Application
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* Indicates required question
Date of Application
*
Today's Date
MM
/
DD
/
YYYY
Youth First & Last Name
*
Your answer
Gender
*
Male
Female
Birthday
*
MM
/
DD
/
YYYY
Age
*
9
10
11
12
13
14
Grade Completed
*
Your answer
Home Address, City, State, Zip
*
Your answer
School District & School for 2019 - 2020 Year
*
Your answer
Email
*
Your answer
Father Name
*
Your answer
Father Phone
*
Your answer
Mother Name
*
Your answer
Mother Phone
*
Your answer
Where did you hear about these scholarships?
Examples - Web, e-mail, other
Your answer
Name of Person Nominating Student for this Scholarship
Who nominated you to participate in this program?
Your answer
Nominating Person's Phone
Your answer
What is the Relationship of the Nominating Person to this Student?
*
Friend
Family
Teacher
Principal
Other:
Sporting Club of which the Nominating Person is a Member
Safari Club International (SCI)
Other:
Clear selection
What camp are you applying for?
You can only apply for one camp per season
Junior Camp (ages 9 - 11)
Advanced Camp (ages 12 - 14)
Clear selection
Has the Student ever shot a firearm before?
Yes
No
Clear selection
Has the Student ever shot a bow before?
Yes
No
Clear selection
Has the Student ever hunted before?
Yes
No
Clear selection
Please describe how, when and where for the three questions above, and list any animals hunted
Your answer
Has the Student ever taken a Hunter's Safety course?
*
Yes
No
If yes, please describe when and where
Your answer
Would the Student be likely to attend the RWYC program without this scholarship?
*
Yes
No
Has the Student ever attended a program similar to this before?
*
Yes
No
If yes, please describe when and where
Your answer
You must include a one-page essay on why you should be considered for a scholarship to the Riley Wilderness Youth Camp
*
Copy/Paste Essay Here
Your answer
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