2022 Empower Camp Scholarship Application
!!!IMPORTANT!!! Scholarship applicants must register for Empower Camp BEFORE submitting a scholarship application.

Empower Camp believes that if a young woman wants to attend camp, she should have the opportunity to do so regardless of financial situation. With the support of generous donors, the Scholarship Fund exists to provide a limited amount of partial, need-based scholarships.

To receive financial assistance, complete this application and return it with a $25 deposit via email to info@empcamp.com or via mail to Empower Camp, 2391 Baseline Road, Unit 343, Grand Island, Buffalo, NY 14072. Pay the deposit via cash, check to ‘Empower Camp’, Venmo to ‘Empower Camp’, or via PayPal online. Unsuccessful applicants will have the $25 reimbursed.

Your request will be reviewed by assessing individual need and merit of each applicant and scholarships will be awarded on a case-by-case basis. Please note that incomplete applications will not be considered.  Application deadline is May 15, 2022.

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Camper's Name *
Parent/Guardian Name *
Parent/Guardian Phone Number *
Parent/Guardian Email Address *
Estimated Annual Household Income: Please note this information will be kept confidential but is necessary to determine eligibility for assistance. Failure to provide this information could disqualify the application. *
Family Information *
Number of Dependents *
Why do you require financial assistance? *
Camper Short Answer Question: What do you hope to gain/learn from your Empower Camp experience? *
Parent/Guardian Short Answer Question: Why do you want your child to attend Empower Camp?   *
Paying for Camp: The total camp fee is $320 per camper. When deciding how much to ask for, please use the honor system. The $25 deposit due with this application will go towards your total camp fee. Scholarships are limited and we want as many young women to experience Empower Camp as possible. Your careful consideration of how much you request in scholarship is appreciated.  How much can you afford to pay towards the total camp fee in addition to the $25 application fee? *
Have you completed the Camper Registration Form? *Please note that the registration form must be completed before your scholarship application will be reviewed. *
Have you paid the $25 deposit due with the submission of this Scholarship Application? *
If no, please explain:
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