Scholarship Application

If you are interested in applying for financial aid for a Camp SCRAP session, please complete the following form. Applications are reviewed and SCRAP will contact you with the status of your application. This application is not a registration for camp. Complete the application as soon as possible as scholarship spots are limited. Please contact education@scrappdx.org with questions.

First Name:

Last Name:

Email Address:

Phone:

Child's First Name:

Child's Last Name:

Child's Age (Children 6-12 eligible for SCRAP's Programming):

Your Relationship to Child:

Estimated Gross Family Income:

Number of Adults in your Family:

Number of Children in your Family:

Do you receive other financial assistance? If so, please list. (e.g. free or reduced meals, food stamps):

Please explain why you would like to be considered for financial aid.:

Are you applying for a half or full scholarship?:

Which season of Camp SCRAP would you like your child to attend?:

Have you received scholarship funds from SCRAP before?:

If Yes, When?:

How did you hear about our scholarship program?:

1736 SW Alder Street, Portland, OR 97205
503-294-0769

SCRAP is a 501(c)(3) nonprofit organization, Federal Tax ID 93-1270807. Donations are tax deductible as allowed by law.

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