GWVAS Nature Camp Scholarship 2008 Application
** Recipients will be responsible for their own transportation to and from camp, and for paying the remainder of the camp fee not covered by the scholarship.
Applicant's Name
Address
Phone E-mail
Date of Birth Male Female
Parents' or Guardians' Names
Address (if different from above)
Camp Location (circle one)
Bear Creek Camp
Endless Mountains Nature Center
Nescopeck State Park
Penn State CLS
Session Number
PLEASE ENCLOSE THE FOLLOWING WITH APPLICATION:
* A brief explanation from child as to why he/she would like to attend.
* A note from a parent/guardian stating that he/she supports the applicant's effort to attend the camp.
* For Penn State CLS Only: A recommendation from a teacher, guidance counselor or youth leader from the community.
APPLICATION DEADLINE: May 23, 2008
SEND TO:
Diane Madl, Scholarship Program
1137 Honey Hole Road, Drums, PA 18222
Fax: 570-403-2008
For more information about the scholarship program, contact Diane Madl at 403-2006. Scholarship recipients will be notified by June 6, 2008.