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Gaston County 4-H Camp Millstone Scholarship Application
Use this form to apply for a camp scholarship on behalf of a youth who wants to go to camp and meets the eligibility requirements.
Applications must be submitted by 5pm on March 25, 2025.
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* Indicates required question
Email
Your answer
Parent/Guardian completing this application.
*
Your answer
Phone number of Parent/Guardian completing this application.
*
Your answer
Please provide the camper's name(s) and age(s) at time of attending camp, in the following format: Jane Smith (13 ) or John Smith (9).
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Your answer
Has your child ever attended overnight summer camp before, either with 4-H or with another camping organization?
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Yes
No
Has your child ever received a scholarship from this program in previous years?
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Yes
No
If you answered yes to the previous question, please provide details on what year(s) the child received support.
Your answer
What type of camper are you applying for?
*
Cloverbud - age 5 - 7
Traditional Camper - age 8 - 12
Adventure Camper - age 13 - 14
Trekker Camper - age 13 - 14
Leader in Training - age 15 - 17
Not sure
Other:
Does your prospective camper belong to any of the following groups or categories considered to be vulnerable youth populations? Check all that apply.
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Underrepresented youth (includes Youth of Color and Native American youth)
Immigrant youth (includes newcomer youth, migrant farm youth, DREAMers)
Low-income youth
Youth experiencing challenges with mental health and well-being (includes youth from opioid-impacted communities; youth with Adverse Childhood Experiences; youth from military families impacted by PTSD, deployment, wounded or fallen veterans)
Youth living with disabilities (please reach out to your camp's leadership staff before applying for funding to ensure the disability can be accommodated at the camp)
LGBTQ+ Youth/Community
Youth experiencing homelessness
Incarcerated youth/Community (includes youth engaged or at risk of engagement with the juvenile justice system)
Disconnected youth (includes youth with significant absences from school, youth at risk of dropping out, and drop outs)
Youth residing in foster care
Youth residing in the NC 4-H West district from a disaster-declared county that was negatively impacted by Hurricane Helene that is experiencing hardship as a direct result of the storm.
None of these
Other:
Required
Please describe in 300 words or less why your camper is a great candidate to receive scholarship funding to attend camp this summer. Please detail any special circumstances, resilient actions, or stories of good character you'd like us to take into consideration.
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Your answer
If selected to receive a scholarship, would your child be able to participate in a feature story? This could include being featured in a video, in press materials, photography, annual and grant reporting, etc.
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Yes
No
Our goal is to provide as much funding as possible for our campers. In this process we may not be able to offer full scholarships to everyone. If your child is awarded a 50% camp scholarship, will he/she be able to attend the camp?
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Yes
No
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