EMPOWERMENT 4 GIRLS

SCHOLARSHIP QUESTIONNAIRE

Applications Must Be Received No Later Than One Month Prior to Camp

Please complete the form below to be considered for a scholarship for one of our Empowerment 4 Girls Camps. All information you share will be securely stored and your personal information will only be shared with our staff and Scholarship Committee members of our Board of Directors. All financial and demographic data will be compiled anonymously for use in evaluating our programs and reporting our success rates to our funders.
Scholarships are awarded for specific camp dates and cannot be applied to other dates. We offer Scholarship Awards in increments of $25.00.
Once you are done here, you must also complete our Camp Registration form in order to complete your Scholarship Request. DO NOT MAKE ANY PAYMENT with your Camp Registration if you are applying for a Scholarship. Choose the $0 option for your Scholarship Deposit on the Camp Payments page. You will be notified regarding the status of your scholarship at least 2 weeks prior to camp date, and at that time we'll provide you a link to our Payments page so you can make your Scholarship Payment.

* Indicates required field

SCHOLARSHIP REQUESTED FOR WHICH Camp Date(s)? *

Child's Name *

First

Last

Age *

Email *

Birth Date *

Phone *

Name (Parent or Legal Guardian) *

First

Last

Name (Parent or Legal Guardian) *

First

Last

How did you hear about E4G? *

If other, please share. *

What can you financially contribute to Camp Registration cost ($0-$370)? *

Anything else to share? *

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A 501(c)(3) Nonprofit Corporation
EIN: 81-4391734
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Kristen Rubis
(360) 878-2043
hello@empowerment4girls.com

3403 Steamboat Island Rd NW #493
Olympia, WA 98502