Carol Treadwell Scholarship Application

Registered Camp Program*

Please select the camp program for which your camper is registered.

Camper Name*

First Last

Camper Age*

Gender

Parent/Guardian Name*

First Last

Address

Street Address City State / Province / Region ZIP / Postal Code Country

Home Phone

Cell Phone

Email

To be completed by parent/guardian

How many school-aged children are in your family?

Are you applying for a full tuition scholarship?*

Partial scholarships are also available. How much are you applying for?

Please describe how this scholarship will benefit your camper/your family.

Why do you want to attend the selected PWSSC summer program? What do you hope to learn?*

What excites you most about science and the environment?*

How do you think your camp experience will continue to affect you after your time at camp?*