Gerald Augusto Campership Application

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Gerald Augusto Campership 2024

This fund was set up at the Chautauqua Region Community Foundation in memory of Gerald Augusto. It is designated to grant one or more camperships annually to matriculating or current elementary or middle school students for the study of the natural sciences at Audubon each summer.

Who is eligible?
This campership is available to children aged 5 – 14 years, who experience barriers preventing them access to a quality, nature-based camp experience. Barriers may include, but are not limited to, financial resources, a lack of transportation, work/childcare conflicts, language, or a combination. At this time, ACNC is able to assist only in easing financial barriers but hopes to address others in the future and is collecting information to inform those efforts.

What is involved?
Fill out the application below. ACNC will award camperships based on need (number and type of barriers indicated), and may offer partial or full scholarships. Camperships are only awarded in the form of tuition to ACNC Day Camps and have no monetary value outside the organization.

How to Apply:

By mail: Download and complete an application and mail it to:
Gerald Augusto Campership, c/o ACNC Sarah Hatfield
1600 Riverside Road
Jamestown, NY 14701

Online: Complete and submit the online application below.

In person: Stop in at ACNC (address above) to fill out an application or drop off a completed application.

Deadline to Apply: May 1

Decision /Notification Date: May 15

Questions? Contact Sarah Hatfield at (716) 569-2345 or shatfield@auduboncnc.org.

Email *

Name of Adult Applicant: *

Street Address: *

City, State Zip: *

Phone: *

# of people in household: *

Annual household income: *

$0-19,999

$20,000-29,999

$30,000-39,999

$40,000-49,999

Other:

Are you eligible for: *

Free or reduced lunches

Medicaid

Social Security

Other benefits (cash assistance, SNAP, HEAP, etc.)

Other:

Required

Transportation options available to you: *

None

Own vehicle

Someone else’s vehicle

Public transportation

Other:

Required

Other barriers that prevent your child from registering/attending: *

caregiver work schedule

need childcare for other children

uncomfortable with nature

language

technology

Other:

Required

Name(s) of child(ren) and age(s) who wish to attend: *

Week and name of camp session(s) desired: *

Is adult applicant the legal parent/guardian? (If no, please enter name of legal parent/guardian in the "other" option.) *

Yes

Other:

Are you able to contribute any amount toward the camp tuition? *

Yes, I can contribute some to the total amount of camp tuition.

No, I need a full scholarship

If you answered yes above, how much are you able to contribute towards the camp tuition amount? *

Please note anything else you would like ACNC to know:

A copy of your responses will be emailed to the address you provided.

Submit

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