Young Authors’ Camp 2015 Scholarship Application This is a needs-based scholarship which will be offered as funds allow. Scholarships are funded with a $5, 288 grant received from the Coastal Bend Community Foundation. We will attempt to provide full/partial scholarships to all children who need them. If demand exceeds our ability to supply a scholarship to every child, writing samples will be read, and children will be admitted on the basis of both need and the writing sample. If you have questions, please contact Keren Costanzo, Administrative Assistant for the Coastal Bend Writing Project, at (361) 825-3151 or Dr. Catherine Quick, Camp Director, at (361) 825-3025. We will do our best to expedite the processing of these requests and to notify you as soon as possible regarding the availability of funds. SECTION A: PERSONAL INFORMATION Author (Child’s) Name: ________________________________________________________________________ Parent/Caregiver Name: ________________________________________________________________________ Address: __________________________________ City, State, Zip: ______________________________________ Daytime Phone: _______________________________ Evening Phone: ___________________________________ Email Address: ________________________________________________________________________________ School Attended (2014-2015):___________________________ Entering Grade: _____________ in Fall 2015-2016 Is the child eligible for free lunches at his/her school? Select child’s author camp program:  Elementary  Yes  No  Middle Are either/both of the child’s parents/primary caregivers currently students?  High School (Writers’ Island)  Yes  No If so, at what school(s)? _________________________________________________________________________ What is the approximate annual income of the family? __________________________ Briefly, what other demands are being placed upon the family that you cannot afford to pay tuition: _______________ _____________________________________________________________________________________________ What portion of the cost CAN your family afford to pay?_________________________________________________ Would you like to receive RTA bus pass/es to use for transportation to and from camp?  Yes  No SECTION B: CERTIFICATION All Information on this form is true and complete to the best of my knowledge. Date: ______________________________ Signature: _______________________________________________ Without a signature, this application will not be processed. SECTION C: WRITING SAMPLE BY THE CHILD (parents, please do not write this for your child). Please write to the camp staff to tell us why you would like to attend this year’s Young Authors’ Camp. You might tell us what you like to write, why you like write, what kind(s) of writing you do regularly or enjoy most. Please tell us whatever it is that you feel is important for us to know. Please attach something typed or handwritten if you wish, but please provide no more than three (3) pages of material. Remember, what you send will not be returned, so please do not send anything irreplaceable.