2015 Scholarship Packet Please complete the included 2015 LOCKs: Middle School Scholarship Application and return to Samantha Flagg: [email protected] or Lowell Observatory c/o Samantha Flagg 1400 W Mars Hill Rd Flagstaff, AZ 86001 Partial funding provided by LOCKs Scholarship Eligibility 2015 Scholarships are available for those who demonstrate financial need (see income guidelines below). Need is based on the 2015 Federal Poverty Guidelines. Students from families that demonstrate such need are eligible for one (1) scholarship per month. Please note that scholarships are limited and will be awarded on a first-come, first-served basis. Full-Scholarship Income Qualifications (225% of Federal Poverty Levels) Persons in family/household Household Income 2 3 4 5 6 7 8 $35,843 $45,203 $54,563 $63,923 $73,285 $82,643 $92,003 For families/households with more than 8 persons, add $9,360 for each additional person. Partial funding provided by 1400 W Mars Hill Rd, Flagstaff, AZ 86001 | www.lowell.edu Lowell Observatory is pleased to offer the 2015 LOCKs (Lowell Observatory Camps for Kids) for middle school children. An “Introduction to Ast ronomy” Overview These activity-based, week-long day camps run from 4 p.m. to 10 p.m. They are for students that will be going into 7th, 8th, or 9th grade in the fall. The topic of the camps is “Introduction to Astronomy”. Campers will enjoy learning about topics in astronomy through fun, hands-on science experiments. They will learn how to identify constellations, how to locate deep-sky objects and how to operate portable telescopes. Other activities will include hiking, drawing, playing games, and more. Tuition and Registration Members: $225 per student Nonmembers: $250 per student Scholarships are available for those who demonstrate financial need. Visit our website at www.lowell.edu/summer-camp to register or contact Sam Flagg. Sessions Session Date 1 June 1 - June 5 2 June 15 - June 19 3 June 22 - June 26 For information about registration or scholarships visit www.lowell.edu/summer-camp or contact Sam Flagg at [email protected] or (928) 233-3280 Partial funding provided by 1400 W Mars Hill Rd, Flagstaff, AZ www.lowell.edu/summer-camp 2015 LOCKs: Middle School Scholarship Application Camper’s Name: ____________________________________________ Grade Level in Fall 2015_______ Parent(s) Name(s): _________________________________________________________________________ Mailing Address: __________________________________________________________________________ City, State ________________________________________________________ Zip Code _______________ Phone Number ____________________________________________________________________________ Email Address ____________________________________________________________________________ Employer’s Name _________________________________ Employer’s Phone #______________________ Occupation _______________________________________________________________________________ Total Annual Household Income _____________________________________________________________ Household Size ____________________________________________________________________________ Grade level of the camp you want your child to attend: _________________________________________ Date of the camp you want your child to attend: ______________________________________________ If the camp you requested is full, would your child be able to attend a different session of the camp? ____Yes ____ No If yes, what is the date of the other session? ________________________________ Continued on following page Partial funding provided by 1400 W Mars Hill Rd, Flagstaff, AZ 86001 | www.lowell.edu 1 2015 LOCKs: Middle School Scholarship Application Please have your child answer the questions in this section. 1. What do you like about science? 2. Why do you want to attend Lowell Observatory Camps for Kids (LOCKs)? By my signature below, I acknowledge that the information I have provided on this form is complete, accurate and current. I further acknowledge that scholarships are limited and will be awarded on a first-come, first-served basis. _________________________________________________ Parent/Guardian Signature ________________________________ Date Partial funding provided by 1400 W Mars Hill Rd, Flagstaff, AZ 86001 | www.lowell.edu 2
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