Scholarship ApplicationScholarship Application Thank you for your interest in our Rising Young Artist Scholarship Program. We are accepting applications for Camp 2021.Scholarship Application Section 1 - Parent/Guardian InformationHow did you hear about us?*American Camp AssociationCamp ChemistryCamp ConnectionCamp ExpertsCamp FindersCamps for YouChoice CampsMy Best SummerStudent SummersSummer 365The Camp ConnectionThe Camp ScoutThe Summer LadyTips on Trips and CampsBroadwayConBucks County Camp Fair - DoylestownCamp Fair - Moorestown Friends SchoolCamp Fair - Tower HillCheltenham Jazz CompetitionChestnut Hill Fall Into the Arts FestivalCosi Elkins Park Scholarship FundraiserDevon Fall ClassicMain Line Parent Camp Fair - Franklin InstituteNew York Family Camp Fair - Cobble HillNew York Family Camp Fair - Greenwich VillageNew York Family Camp Fair - Upper West SideNJ Camp Fair - Quaker Bridge MallNJ Camp Fair The Grand Summit HotelNJ Thespian ConferencePA Thespian ConferenceSpringside/Chestnut Hill Academy Camp FairTeen Arts Festival - Salem and Gloucester CountyTeen Arts Festival - Union CountyEvent at Appel FarmPresentation or Online PostingAllensguide.comAppel Farm WebsiteBaltimoresChild.comBing.comCampchannel.comCamppage.comFacebookGoogle.comKidsCamps.comMainLineCamps.comMySummerCamps.comPhiladelphia Housewives BlogSouthJersey.comTeenLife.comTheBestCamps.comComcast Newsmakers FeatureGOTOLocalAppel Farm On-Site ArtsScholarship RecruitmentAppel Farm School ProgramAppel Farm Site RentalAppel Farm Social Service ProgramOtherAcoustic Guitar MagazineBaltimore's Child's Camp and Summer Programs DirectoryDramatics MagazineEdible Jersey MagazineFanfaire NYCInside Jersey MagazinePrinceton ScoopSuburban Family MagazineCurrent Appel Farm Staff or Board MemberCurrent CamperFormer Appel Farm Staff or Board MemberFormer CamperFriend/AcquaintanceSiblingTeacherName*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 Job Title*Employer*Years with Employer*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 Job TitleEmployerYears with EmployerSection 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*School*Public or Private School?*Public School (includes Charter)Private SchoolHomeschoolCurrent Grade*1st2nd3rd4th5th6th7th8th9th10th11th12thBirthday* Date Format: 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 OtherSection 3 - Financial InformationTotal number of members in your household, including all dependents*Total Annual Household Income*Please include any government support, spousal and child support, and investments.$10,000 - $19,999$20,000 - $25,999$26,000 - $35,999$36,000 - $45,999$46,000 - $55,999$56,000 - $65,999$66,000 - $75,999$76,000 - $85,999$86,000 - $95,999$96,000 - $105,999$106,000 - $119,999$120,000 or greaterTotal amount you can afford to pay for camp*Does your child qualify for reduced or free lunch?*YesNoI would like to be considered for a Full Scholarship (100% of tuition costs covered).*If "Yes" please see Proof of Income requirements below.NoYesProof of Income (First-Time & Return Campers)Anyone (First-Time & Return Campers) who would like to be considered for a FULL scholarship (100% of tuition covered) is required to submit proof of the income that was indicated above. Acceptable forms of proof include pay stubs (indicate how often you receive paychecks), 1040 tax documents, confirmation of government assistance, etc. If you have any questions about what will be accepted, please contact us at camp@appelfarm.org or 856-358-6881. Drop files here or Are there affordable quality arts activities or arts education programs in your child's school and community? If so, please explain your child's level of involvement in those activities.*How many weeks of camp are you interested in sending your child to?*2 Weeks4 Weeks6 Weeks8 WeeksDo 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?*Why do you want to attend Appel Farm Arts Camp?*Teacher Recommendation (First-Time Campers Only)If your child will be a First-Time Camper, you must submit a Teacher Recommendation with your child's application. If your child is a Return Camper, then your child's behavior from the last summer & counselor feedback will be used for consideration in lieu of a formal recommendation.Teacher Name First Last Teacher Email * 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!