2024 Summer Program Scholarship Application

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2024 Summer Program has a limited number of scholarships, valued at up to $200 per child, available for students who qualify for the free or reduced-price lunch program. In addition, we will consider additional factors such as extenuating family circumstances.

* Scholarship funds will be applied directly to the student’s 2024 Dynamic CLA enrollment
* Scholarship funds are only usable by the student whom the scholarship is granted and for the 2024 Summer Program only.
* All scholarships are confidential. Applicants agree to refrain from discussing awards with others.
* If the family denies or fails to return acceptance by the deadline specified, then the scholarship is forfeited.
* The family must pay any remaining balance due on the program account after scholarship funds have been applied.
* Scholarships cannot combine with other camp discounts.
* Cancellation of camp session is permitted no less than 14 days before the session begins, must be done in writing/email to summerprograms@hopeccs.org, and will result in a $50 cancellation fee.

Student's Last Name *

Student's First Name *

Full Address *

You've signed up Dynamite CLA: *

7/1 - 7/3, $156

7/8 - 7/12: $260

7/15 - 7/19: $260

7/22 - 7/26: $260

7/29 - 8/2: $260

Required

School your student is attending:

Student grade level in 2023-24 school year: *

Parent/ Guardian #1 Full Name *

Parent/Guardian #1 Phone Number *

Parent/ Guardian #2 Full Name *

Parent/Guardian #2 Phone Number *

Main Contact Email Address *

Select all that apply: *

Your family receives SNAP

Your family receive Temporary Assistance for Needy Families (TANF)

Your family receive Earned Income Credit (EIC)

Your student qualifies for the free or reduced-price lunch program

Other:

Required

Special Circumstances

Are there any special circumstances, permanent or temporary, that make financial assistance necessary at this time?

Signature of Parent/Guardian *

Important: *

Submit the following to mealbenefits@hopeccs.org within ONE week of registration of summer camp and scholarship application: Proof of eligibility (supporting documentation to verify your household income or circumstances. This may include tax returns, a statement of benefits or documentation from your school lunch program, or a signed statement from a school official that you are income eligible for free or reduced price lunches, or a statement from a caseworker or other professional who is familiar with your family’s circumstances).

Required

If your scholarship is approved and funding is available, you will be notified by e-mail. At that time we will proceed with your summer program registration. Scholarships are valid only for the summer immediately following approval.

Required

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