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2019 FCA Camp- Scholarship Request Form
Please complete the form below to be considered for a scholarship for an FCA Camp scholarship.
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* Indicates required question
Camper's First Name
*
Your answer
Camper's Last Name
*
Your answer
Parent's Name
*
Your answer
Email Address
*
Your answer
Mailing Address
*
Your answer
City
*
Your answer
State, Zip
*
Your answer
Preferred Phone Number
*
Your answer
Camper's School in Fall
*
Your answer
Camper's Grade in Fall
*
Your answer
What camp are you interested in attending?
*
Central Maine Power Camp (June 25-28) @ Kents Hill
Journey Sports Camp (July 15-18) @ Hampden Academy
New England Leadership Camp (August 9-11) @ Kents Hill
Other:
Required
What sport would you register for (if applicable)?
Your answer
What scholarship amount do you feel you need in order to attend camp?
*
Your answer
Have you attended FCA Camp in the past?
*
Yes
No
If yes, which camp and what year?
*
Your answer
Parents combined gross income for the previous year
*
Under $20,000
$20,000-$35,000
$35,000-$50,000
$50,000-$75,000
Above $75,000
Is there an FCA Campus huddle at camper's school?
*
Yes
No
Not Sure
Is your camper involved with FCA Group at school?
Yes
No
Not Sure
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