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Page 15 Summer Camp Scholarship Application

Please fill out this form to apply for a scholarship for Page 15's 2024 Young Writers Summer Camp.

Reminder: there are limited scholarship opportunities for students. Please refrain from scholarship application unless deemed necessary for student participation.

Student Information

This is your camper's information.

First Name*

Last Name*

Preferred Name

Date of Birth*

MM slash DD slash YYYY

Gender*

Male

Female

Non-Binary

Prefer not to say

Other

Race

American Indian or Alaskan Native

Asian

Native Hawaiian or Other Pacific Islander

White

Prefer not to say

Other

Ethnicity*

Hispanic or Latine

Non Hispanic or Latine

Prefer not to say

Other

Grade for 2025 - 2026 School Year*

3rd Grade

4th Grade

5th Grade

6th Grade

7th Grade

8th Grade

9th Grade

10th Grade

11th Grade

12th Grade

School for 2025 - 2026 School Year*

Allergies / Medications / Special Needs

Week(s) of Camp Requested*

Rising 3rd & 4th Grade | June 1 - 5

Rising 5th & 6th Grade | June 8 - 12

Rising 7th & 8th Grade | June 15 - 19

Rising 9th - 12th Grade | June 22 - 26

Rising 5th & 6th Grade | July 13 - 17

Rising 7th & 8th Grade | July 20 - 24

Parent / Guardian Information

This is your information.

Parent/Guardian First Name*

Parent/Guardian Last Name*

Primary Phone Number*

Secondary Phone Number*

Email*

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

How did you hear about Young Writers Camp?*

Returning camper

Page 15 email

Social media

Teacher or school recommendation

Word of mouth

Other/Not sure

Your gross annual family income is approximately:*

*For informational purposes. Income range is not the sole factor in scholarship award decision.

Under $12,000

$12,001 to $20,000

$20,001 to $28,000

$28,001 to $36,000

$36,001 to $44,000

$44,001 to $52,000

$52,001 to $60,000

Over $60,000

Page 15 is committed to bringing writing opportunities to students of all abilities: from students with emerging language skills to students that are on-track to winning a Pulitzer. What is your student's relationship with writing?*

Please use this space to write any additional information you'd like to be considered in the scholarship awarding process.

Scholarship Confirmation*

I have answered all of the previous questions to the best of our ability, and I believe them to be correct. We affirm that, without the aid requested, it would be a struggle financially to enroll my child in this program.

I understand and agree

Application Does Not Confirm Space*

I understand that the completion of this form does not guarantee my child a place in the 2025 Young Writers Summer Camp and that paid spaces may no longer be available after May 2025.

I understand and agree

Page 15 Policy*

I understand that Page 15, Inc. is committed to maintaining a space that celebrates and uplifts all. As such, Page 15 does not tolerate racist, misogynistic, homophobic, transphobic, or otherwise hateful speech or behavior. I understand and accept that my child may be temporarily or permanently removed from Page 15 programs if they violate this policy. For more information about Page 15's core values and beliefs, visit page15.org.

I understand and agree

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