Diocese of Ogdensburg

The Roman Catholic Church in Northern New York

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(*)
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Last Name(*)
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Street(*)
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City(*)
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State(*)
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Zip(*)
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Email Address:
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Parish:
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Number of persons in household:(*)
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Household Income:(*)
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Please list the name or the youth requesting the scholarship, portion paid by Family and/or Parish and/or Other, and Scholarship amount requested in the following boxes.
Name of Youth (1):(*)
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Name of Youth (2):
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Name of Youth (3):
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Name of Youth (4):
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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.(*)
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Todays Date:(*)
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Ex. mm/dd/yyyy

Full Name:(*)
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(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.)
Verification: Please check the box next to “I’m not a robot” to show that you are a real person(*)
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When you click submit, you will see a thank you page that tells you your submission has been successful