WICPTSA Scholarship Application

For eligibility criteria and other information, see this page: Scholarships

STUDENT'S NAME:

GRADE IN 2023-24:

SCHOOL IN 2023-24:

COMPLETE HOME ADDRESS:

PARENT/GUARDIAN NAME:

PARENT/GUARDIAN PHONE NUMBER:

PARENT/GUARDIAN EMAIL:

PROGRAM/CAMP ATTENDING:

LOCATION OF CAMP:

PROGRAM COST:

Please tell us about yourself and why you chose to attend this program. Explain why you feel this program is special and what you expect to gain from your attendance. You may upload this information in a separate file below; if you do so, please note here that you have done so.

Upload answer to previous question as a Word document, rtf, or pdf (optional)

I affirm that I have read the eligibility criteria for the WICPTSA Summer STEAM Program Scholarship, the student is eligible to receive the Scholarship and will attend the program above, and that the essay above/attached was written by the student for whom the scholarship is requested.

Summer STEAM Program Scholarship Application