Sarasota County FCA

CAMP SCHOLARSHIP APPLICATION

Name:

Gender:

Email:

Phone:

Email:

Street Address:

City:

State:

Zip Code:

MUST BE ANSWERED BY THE CAMPER: Why do want to attend FCA Camp this summer?

Parent/Guardian Name:

Cell Phone:

Home/Work Phone:

Parent/Guardian Email:

School camper will attend in Fall:

Grade (September 2024):

Graduation Year:

Date of Birth:

How much can you personally pay toward FCA Camp?

FCA Camps previously attended:

Have you previously received a FCA Camp scholarship?

If yes, what was the scholarship amount?

Is this a dual income home?

Is this a single parent home?

Parents' Combined 2023 Income:

Parent/Guardian's comments on student's desire to attend FCA Camp this summer: