Crestwood Education Association

Middle School Student

Scholarship Application

Please print and fill in completely using blue or black ink.

Name ______Grade ______

Address ______

______

______

Telephone Number ______

Deadline for Application May 1, 2015.

Return to Kim Marfy at the Middle School in a sealed envelope marked SCHOLARSHIP

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Committee Use Only

Date received ______

Candidate number ______

Committee Score ______

Name of the camp you would like to attend ______

Location of the camp you would like to attend ______

Cost of the camp you would like to attend ______

What portion of the cost of this camp can your family comfortably contribute? ______

In the event that you do not qualify for this scholarship, will you still plan to attend this camp? Yes No (circle one)

What will you be learning about at this camp? ______

Will attending this camp enable you to help others? Yes No (circle one)

If so, how will attending this camp enable you to help others? ______

Does this camp enable you to try something new? Yes No (circle one)

If so, how will attending this camp enable you to try something new? ______

Does this camp allow you to develop skills you already possess? Yes No (circle one)

If so, how will attending this camp enable you to enhance those skills? ______

The Crestwood Education Association would like to know why you want to attend this camp. Using one of the following formats please explain why you want to attend this camp.

●Create a poster

●Write a poem

●Write an essay of 100 words or less

●Video tape yourself giving a 3 minute presentation

Please attach your chosen form to this application. They will not be returned.

Fill in all parts of the Application

Deadline for Application May 1, 2015.

Return to Kim Marfy at the Middle School in a sealed envelope marked SCHOLARSHIP

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Committee Use Only

Candidate Number ______