JCAS Scholarship Application Form: Summer 2020

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A limited number of need-based scholarships are available for the Junior Center of Art and Science's Summer Camp programs. Please be sure to read the entire application before filling it out. Scholarships are awarded to campers based on financial need. All information is confidential.
Only partial scholarships are available. Parents must be prepared to pay the remaining tuition balance or make arrangements for payment plan by the due date if the scholarship is accepted. Awards are dependent on application pool and available funds. If the tuition balance is not received by the due date, the scholarship and space in the class will be given to the next camper on the waiting list. We appreciate your understanding.

DEADLINE for SUBMITTING APPLICATIONS: March 1

NOTIFICATION of AWARDS: March 15

Email *

Date 2/2/2020 *

YYYY

Camper's Name: Marcelo De Sousa *

Parent's Name: Jaclyn Burleigh *

Address: 229 MacArthur Blvd Apt. 1G *

City: Oakland *

Zipcode: 94610 *

Phone (day): 415-713-9229 *

Email Address: jaclyn.burleigh@gmail.com *

School Camper Attends : Walden Center & School *

City of School: Berkeley *

Camper's Birth Date: 03/17/2012 *

YYYY

Number of people in household: 3 *

Number of household members employed: 2 *

Name(s) of Employers : (Jaclyn) ReActive Movement (Fausto) Self Employed *

If no members employed, state means of support: N/A *

Annual Household Income *

$50,000 - 59,000

$40,000 - 49,000 This is our income level

$30,000 - 39,000

$20,000 - 29,000

Below $20,000

Required

Course Requested (one course per camper): First Choice : Carpentry 2 *

Course Requested (one course per camper): Second Choice: Stop Motion Animation *

By typing my name I certify all the above information is true and correct to the best of my knowledge. Jaclyn Burleigh *

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