Camp Spirit Scholarship Application

The Camp Spirit Scholarship Fund Application for Camp Mont Shenandoah, Ltd.

With additional scholarship funding provided by Camp Okahahwis Scholarship.

Application Must be Received By: Friday, December 15, 2023

Registration

I have registered my daughter for CMS 2024(Required)

Yes

* Camper must be registered to be eligible for scholarship funding

I have paid my deposit(Required)

Yes

* Camper's deposit must be paid for her to be eligible for scholarship funding

APPLICANT INFORMATION

Camper Name(Required)

First Middle Last Preferred Name

Address(Required)

Street Address City State ZIP Code

Permanent address if different from above

Street Address City State ZIP Code

School Name(Required)

Preferred Parent Email(Required)

Home Telephone(Required)

Camper’s Date of Birth(Required)

Number of years at Camp Mont Shenandoah: (Please distinguish between R&S years and 3/6 week years.)(Required)

Have you previously received scholarship funding from CMS or Camp Okahahwis?(Required)

Yes

If yes, when?(Required)

Session Attending: (Please select one)(Required)

6 Weeks

1st 3 Weeks

2nd 3 Weeks

Roots & Shoots

Please explain any special circumstances, if applicable (including, but not limited to, wait list status)

If a repeat camper, please list the name of your previous summer CMS counselor(s)(Required)

NOTE: By providing the name of your previous summer camp counselor, you understand that a CMS Scholarship Committee Member may contact her to discuss your previous camp experiences.

FAMILY INFORMATION

Are the parents of the applicant solely responsible for paying the camper’s tuition for the 2024 camping season?(Required)

Yes

* If you answered ‘No’ to the above statement please detail the other contributors’ financial information (the same that is requested of parents).

Non Parent / Non Guardian Contributors

Please provide the same information that is requested of parents and guardians for all other contributors. Name, occupation, employer and annual income

Name of Parent/Guardian 1(Required)

Occupation(Required)

Employer(Required)

Annual Income(Required)

Name of Parent/Guardian 2(Required)

Occupation(Required)

Employer(Required)

Annual Income(Required)

Additional Income Received:(Required)

List ALL other sources of income (alimony, child support, government benefits, etc.)

Total Household Annual Income(Required)

List names and ages of siblings supported by the parent(s)/guardian(s) and relationship to the applicant(Required)

Statement of Financial Need

Please describe any special circumstances affecting your financial situation and/or ability to pay for camp this summer. Please be as forthcoming as possible.

I. On a separate sheet of paper, please have the applicant/camper write a letter expressing why she wants to attend Camp Mont Shenandoah.

II. On a separate piece of paper, the parent(s)/guardian(s) should: a. Confirm their daughter’s desire to attend Camp Mont Shenandoah; b. Describe her ability to make friends, be helpful and maintain a positive attitude in a community environment; and c. Describe the aspects of her character that may fit with Camp Mont Shenandoah’s Five Virtues and 12 Laws of Woodcraft.

In addition, please include any financial need, whether the child is a legacy of CMS or other special circumstances/reasons for the child to attend camp. Financial need will be a primary focus of the Selection Committee whereas being a legacy or other special circumstances are not required to receive a scholarship but may be considered by the Selection Committee.

Upload Statement of Financial Need(Required)

Max. file size: 512 MB.

CERTIFICATION

The information provided in my application is, to the best of my knowledge, complete and accurate. I understand that false statements on this application will disqualify me from a scholarship.

Parent/Guardian Signature(Required)

Date(Required)

By checking this box and typing my name above, I am electronically signing my application(Required)

Agree