Camp Guggenheim Scholarship Application

You must fill out the Registration form first.

This scholarship fund assists youth who want to attend Camp Guggenheim after all other sources of funding are exhausted. It is expected that each person will pay part of the Camp Guggenheim fee. Scholarship funds are limited and cannot provide full registration fees for anyone. Please note that all individuals seeking a scholarship must also contact their parish for assistance. Remember, there is no assurance that this request will be automatically funded. You will receive notification in the mail with the results of your request. Requests for scholarships must be received by June 1.

Parent or Guardian:

First Name(*)

Invalid Input

Last Name(*)

Invalid Input

Mailing Address(*)

Invalid Input

City(*)

Invalid Input

State(*)

Invalid Input

Zip(*)

Invalid Input

Email Address:

Invalid Input

Phone Number:(*)

Invalid Input

Parish:

Invalid Input

Number of persons in household:(*)

Invalid Input

Household Income:(*)

Invalid Input

Please list the name(s) of your children requesting the scholarship.

Child 1

First name:(*)

Invalid Input

Last Name:(*)

Invalid Input

Amount Paid by Family:(*)

Invalid Input

Have you requested help from your parish?(*)

YesNo

Invalid Input

Amount of Scholarship Request:(*)

Invalid Input

Child 2 (if needed)

First name:

Invalid Input

Last Name:

Invalid Input

Amount Paid by Family:

Invalid Input

Have you requested help from your parish?

YesNo

Invalid Input

Amount of Scholarship Request:

Invalid Input

Child 3 (if needed)

First name:

Invalid Input

Last Name:

Invalid Input

Amount Paid by Family:

Invalid Input

Have you requested help from your parish?

YesNo

Invalid Input

Amount of Scholarship Request:

Invalid Input

Explanation of Need:

Please indicate below (or on an additional sheet) special information which may be helpful to the Scholarship Committee as they determine the need for this scholarship.(*)

Invalid Input

Todays Date:(*)

Invalid Input

Ex. mm/dd/yyyy

Full Name:(*)

Invalid Input

(By typing your full name in the Person Applying Box above you certify that everything you entered in this form is true and that you understand what is being asked of you.)

Roman Catholic
Diocese of Ogdensburg

PHYSICAL ADDRESS

MAILING ADDRESS

CONTACT

SOCIAL MEDIA

HOURS