Form - AgFest-Camp-Scholarship-Application

AgFest Camp Scholarship Application

This application is for a need-based scholarship to attend AgFest Camp. All applications must be received by April 1st. Late applications will not be considered

Company

This field is for validation purposes and should be left unchanged.

Applicant Information

Applicant Name(Required)

Enter the name of the scholarship applicant who will be attending camp.

Date of Birth(Required)

Age

Grade Level(Required)

Address(Required)

Affiliation(Required)

4-H

FFA

Grange

Independent

Chapter/Club(Required)

Parent Name(Required)

Parent Email(Required)

Parent Phone(Required)

Household Information

Household Members(Required)

List all individuals living in the household, including parents, family members (grandparents, aunts/uncles, etc). Click the "+" sign to add additional names

Name

Relationship

# Siblings Attending Camp(Required)

Please list the # of siblings in the household that also will attend camp. If none, enter "0"

List the names of siblings(Required)

List the names of siblings who will also be attending camp. Click the "+" sign to add additional names

Hardship/Financial Need

Please answer the following questions to help us understand your financial situation. No information will be shared with the public. The total cost of the program is $380, and we want to understand how much help you need.

Family Hardships/Challenges(Required)

Describe any hardships or challenges your family is currently facing (e.g., financial struggles, medical expenses, job loss, etc.)

Other Financial Challenges/Circumstances(Required)

What other financial challenges or circumstances contribute to your inability to pay the full amount for this program? (e.g., single-parent household, low household income, unexpected expenses, etc.)

Scholarship Importance(Required)

Why is receiving this scholarship important to you or your child? (Please include any additional information that may help us understand your situation better.)

Assistance Requested(Required)

How much assistance are you requesting to help cover the cost of the program? (Please note the full cost of the program is $380.)

Discount Code