FTC Scholarship Application EnglishScholarship ApplicationFamilies to College Scholarship to attend Appel Farm Arts CampSection 1 - Parent/Guardian InformationName*Person completing the application. First Last Relationship to Camper*Phone #*Please list primary home or cell number. We may need to contact you via phone about your scholarship application or award.Email*Award updates and notifications are made primarily through email, so please list an email that you check often. Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Alternate Parent/GuardianPlease list name of any additional adult who is fiscally responsible for the camper. First Last Relationship to CamperAddress Same as previous Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone #Email Section 2 - Camper InformationChild's Name* Child's First Child's Last Will this be your child's first summer at Appel Farm?*YesNoCell Phone #Gender*Current Grade*1st2nd3rd4th5th6th7th8th9th10th11th12thBirthday* MM slash DD slash YYYY Email* Race/Ethnicity*Required for grant purposes only and not considered when giving awards. Select all that apply. American Indian or Alaskan Native Asian Black or African-American Hispanic or Latino Native Hawaiian or Other Pacific Islander White OtherDoes your child qualify for reduced or free lunch?*YesNoDo you have a preference for which camp session your child attends?* No preference Session 1: June 27 - July 10, 2021 Session 2: July 11 - July 24, 2021 Session 3: July 25 - August 7, 2021 Session 4: August 8 - August 21, 2021If you made a session preference, can your child attend another session if necessary?*Sessions assignments are based on availability and cannot be guaranteed.YesNoPlease tell us briefly about your child and why you want your child to attend Appel Farm Arts Camp this summer.*Section 4 - All About Me! - To Be Completed by the CamperShould be completed by the child. We would like to get to know you! Please fill out these questions honestly. There are no right or wrong answers.Tell us about yourself.*What do you like to do in your free time?*Are you involved in any arts or creative activities now? Please describe them (school clubs, private lessons or classes, performances, etc.). If you aren't, please explain why.*Activity Choice #1*While you live at Appel Farm, you will choose four main activities in which to focus your studies. Check out our website for more information on each program, then choose two of the following activities that you could like to focus on learning while at camp.*Music (classical instruments, rock band, voice lessons)Dance (ballet, modern, jazz, hip-hop, choreography)Theatre Performance (acting)Green Corps (environmental art, gardening)Photography (black & white photos)Art + Technology (recording arts, video production, robotics)Visual Arts (drawing, painting, ceramics, sculpture, etc.)Technical Theatre (sound, lights, set construction, costumes, stage management)Creative Writing (journalism, poetry, short story, blogging, etc.)Sports & Swim (team sports, tennis, swim lessons)Activity Choice #2*While you live at Appel Farm, you will choose four main activities in which to focus your studies. Check out our website for more information on each program, then choose two of the following activities that you could like to focus on learning while at camp.*Music (classical instruments, rock band, voice lessons)Dance (ballet, modern, jazz, hip-hop, choreography)Theatre Performance (acting)Green Corps (environmental art, gardening)Photography (black & white photos)Art + Technology (recording arts, video production, robotics)Visual Arts (drawing, painting, ceramics, sculpture, etc.)Technical Theatre (sound, lights, set construction, costumes, stage management)Creative Writing (journalism, poetry, short story, blogging, etc.)Sports & Swim (team sports, tennis, swim lessons)Explain why you chose those two activities*If chosen for a scholarship, you will be sleeping away from home for the entire session. Have you ever slept away from home before, and if so, did you enjoy it? If you haven't, do you feel that you are ready to do so?*How do you feel about living in a bunk with 10-13 other people?*While at Appel Farm, you will communicate with your family by writing letters. Computers and cell phones are not allowed at camp. How do you feel about this?*What do you feel is the biggest challenge in your life right now?*What is one thing you are proud of doing?*How will attending Appel Farm Arts Camp help you reach your goals?Choose your own format to respond to this prompt, and upload your essay, video, artistic piece, powerpoint, etc.. Drop files here or Select filesMax. file size: 256 MB. Agreement* I have read and completed this form to the best of my ability and certify that all information included is accurate. I attest that my child is physically and mentally capable of participating in all camp activities; my child wants to attend Appel Farm, and if selected, my child will attend all weeks of their session.ConfirmationWhen you have successfully submitted your Scholarship Application, you will see a confirmation message, and a copy of your application will be sent to you via email. If you do not see the confirmation message, and it looks like the application is still on the screen, please check that you have answered every required field and hit submit until you know you have submitted your application!Δ
