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.
Sign in to Google to save your progress. Learn more
Email
Parent/Guardian completing this application. *
Phone number of Parent/Guardian completing this application. *
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).  *
Has your child ever attended overnight summer camp before, either with 4-H or with another camping organization? *
Has your child ever received a scholarship from this program in previous years?  *
If you answered yes to the previous question, please provide details on what year(s) the child received support. 
What type of camper are you applying for?
*
Does your prospective camper belong to any of the following groups or categories considered to be vulnerable youth populations? Check all that apply. *
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. 

*
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. *
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? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of North Carolina State University.

Does this form look suspicious? Report