Little Yellowjackets Summer Camps

Scholarship Application

UW-Superior Campus Rec is proud to offer a scholarship program. This program is designed for

children who, without financial assistance, would not have the opportunity to participate in the

Department’s summer camp program. This will help make the summer camp more accessible

by covering the cost of registration fees for youth who qualify.

The maximum funding per household is $300.00 per year. Eligibility will be determined on a

case-by-case basis. Applicants will be notified by email or phone of their funding status. The

application will be processed within two weeks. All financial aid forms will be kept

confidential.

I. Purpose

UW-Superior Campus Rec believes in providing services and programs to all who wish to

participate, regardless of financial status.

II. Eligibility

Must be enrolled in a Free & Reduced Lunch program.

III. Application

Residents may apply by completing a request form signed by an adult member of the

household. All requests are confidential. Applicants need to submit a request form for

each request. Applications will not be accepted for camp registrations that have been

previously processed.

IV. Approval

The approval will be based on the availability of funds.

Date of Application: ____________________________________________________________

Parent/Guardian Applying: ______________________________________________________

Address: _____________________________________________________________________

City and State: _________________________________________________________________

Phone Number: ___________________________ Email: ______________________________

Are you currently enrolled in _____ Yes _____ No

a free and reduced lunch

program?

Please list all family members: _____________________________________________________

______________________________________________________________________________

______________________________________________________________________________

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Name of participant needing financial assistance: _____________________________________

Camp applying for: _____________________________________________________________

Program Cost: __________________________________________________________________

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Name of participant needing financial assistance: _____________________________________

Camp applying for: ______________________________________________________________

Program Cost: __________________________________________________________________

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Applicant Signature: _____________________________________________________________

******************************* Office Use Only *********************************

Scholarship Awarded _____ Yes _____ No

Total Family Scholarship Awarded: _________________________________________________

Total Family Scholarship Used: _____________________________________________________