“Send a Kid to Camp” Scholarship Program
SCHOLARSHIP PROGRAM FOR ALL CAMPS
The Friends of the Round Lake Area Parks Foundation has a day camp scholarship program available for residents 6-21 years of age.
Applications for the scholarship are avail- able at two Round Lake Area Park District locations: The Robert W. Rolek Community Center located at 814 Hart Road, Round Lake; and the Sports Center located at 2004 Municipal Way, Round Lake Beach.
Scholarships will be awarded based on financial need and the availability of camp scholarship funds at the time of application.
The Friends of the Round Lake Area Parks Foundation [501(C)(3)] raises money for the specific purpose of supporting programs of the Round Lake Area Park District.
Any questions, contact Ross Bertone at 847-546-8558.
ROUND LAKE AREA PARKS FOUNDA- TION DAY CAMP SCHOLARSHIPS The Friends of the Round Lake Area Parks Foundation [501 (c)(3)] makes funds available to provide financial assistance to qualifying resident families who might not otherwise
be able to participate in the District’s day camp programs.
DAY CAMP SCHOLARSHIP • All information is confidential and not a matter of public record.
• All information on the day camp schol- arship application must be true and accurate.
• Limited funds are available for scholar- ships. All day camp scholarship awards will be on the basis of need and avail- ability of Foundation funds at the time of application.
• Scholarships are available to children ages six (6) through twenty-one (21) years of age, and are enrolled in a School Age Program (no younger than first grade).
• All requests for scholarships must be submitted to the Recreation Services Director of the Round Lake Area Park District for review and determination.
PROOF OF RESIDENCY
The following sources can be used for proof of residency: Valid Illinois driver’s license, utility bills, apartment lease, etc.
QUALIFICATIONS FOR SCHOLARSHIP • Proof of financial need must be demon- strated to qualify for scholarship program. Items that will be considered/evaluated include: current participation in public aid; food stamps; school lunch or subsidy housing programs; excessive medical bills or other unusual, burdening financial cir- cumstances.
• All applications must include copies of your three most recent paycheck stubs or other source of income.
PROCEDURE
Persons requesting scholarships must com- plete the appropriate form and submit it to the Park District. Applications will be individ- ually reviewed and evaluated. Applicants will be notified within seven (7) working days of submission.
LIMITS ON SCHOLARSHIPS • Scholarships will be limited to a maxi- mum of one (1) week of camp or equiv- alent to applicants for the 2017 camp season.
• Upon acceptance, the applicant must complete the entire registration packet required for the appropriate day camp program. This includes a copy of their school physical and immunization record.
ROUND LAKE AREA PARKS FOUNDATION SCHOLARSHIP APPLICATION Name of Camp: ________________________________________________________________________________________________________________
Name of Scholarship Applicant(s): _______________________________________________________ Birth Date:_______________________________ Address (City, State, Zip): ________________________________________________________________________________________________________ Person Completing Application: _____________________________________________ Relationship to Applicant:_______________________________ Home Phone: _________________________________
Work Phone: __________________________________________________________________
Please list additional family members who live in the same household: Name: _______________________________________ Name: _______________________________________
Age: _________ Age: _________
Name: _______________________________________ Age: _______ Name: _______________________________________ Age: _______
EMPLOYMENT Employer’s Name: ______________________________________________________________________________________________________________ Address (City, State, Zip): ______________________________________________________ Phone: _________________________________________ Supervisor’s Name: ________________________________________________ How Long Employed: Work Hours: _____________________________
PLEASE CHECK ITEMS TO INDICATE FINANCIAL NEED (copies of documentation for the following will be required): oPublic Aid
oSubsidized Housing oFood Stamps — Case Number: _________________________________
oSchool Lunch Program — School Attended: __________________________________________________________________________________ oExcessive Medical Bills — Reason: ________________________________________________________________________________________ oAny Other Extenuating Circumstances: _____________________________________________________________________________________
REFERENCES (list below one or more schools or social agencies for reference checks): Name: __________________________________________ Address: _______________________________________ Phone: ___________________ Name: __________________________________________ Address: _______________________________________ Phone: ___________________
I certify that the above information is true and understand that it will be verified. All information is confidential and is not a matter of public record. Signature: __________________________________________________________________________________________ Date: ___________________
FOR OFFICE USE ONLY — DO NOT WRITE INSIDE THIS BOX
Date Application Received: ____________________ Date Notification Sent: ________________________
84
Results: _____________________________________________________________ Staff Signature: _______________________________________________________
Round Lake Area Park District | SPRING/CAMP 2016-17
CAMP | Scholarship
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