LEARNING FORUM INTERNATIONAL Making Great Kids Greater! 2015 SuperCamp Scholarship Application GENERAL INFORMATION APPLICATION REQUIREMENTS DATES AND LOCATIONS Grade levels listed are for 2015/2016 school year. Dates and locations are subject to change. Scholarships are not available for camps held at Stanford University. Please include the following with your fully completed application forms. All application forms must be received by end of day, Thursday, April 30, 2015, to be considered. Junior Forum – 7 days (ages 11–13, entering grades 6–8) July 15-22 Loyola University Chicago Chicago, IL Recent student photo July 24-31 Loyola Marymount Los Angeles, CA Letter of reference from a teacher, counselor, or coach Aug 4-11 UC Berkeley Berkeley, CA Copy of latest IRS tax return (first page only) or other proof of income July 5-12 University of Texas Dallas, TX July 12-19 Wake Forest University Winston-Salem, NC Signed Commitment Agreement (downloaded separately from www.learningforum.org) Separate sheets for Parts 2 and 3, if needed Reminder: include tuition contribution payment information on application if applicable (check or credit card information to be processed only if scholarship awarded and accepted) IMPORTANT DATES Applications due: April 30, 2015 Award notifications: June 1, 2015 Tuition contribution due for winning applicants: June 15, 2015 Senior Forum – 10 days (ages 14–18, entering grades 9–12) July 3-12 Loyola University Chicago Chicago, IL July 12-21 Loyola Marymount Los Angeles, CA July 23-Aug 1 UC Berkeley Berkeley, CA June 30-July 9 Wake Forest University Winston-Salem, NC July 22-31 Wake Forest University Winston-Salem, NC July 15-24 University of Texas Dallas, TX Leadership Forum – 7 days (ages 16–19, entering grades 11–12 and first year college) HOT TIPS (suggested but not required) July 27-Aug 3 Send all application materials together—and mail early. Quantum U – 8 days (incoming and current college students) Write a cover letter from the heart and tell us your story. One photo is required—make sure it’s a great one! July 25-Aug 1 Be creative to make your application stand out. For example, include photos, drawings, PowerPoint presentation, or video, etc.—anything that shows more about who you are. SUBMIT YOUR APPLICATION Be flexible with campus and date choices. Make sure the student, not the parent, fills out the student section. Show your enthusiasm for attending SuperCamp by completing multiple items on the Commitment Agreement. University of Texas Loyola University Chicago Dallas, TX Chicago, IL Mail to: Learning Forum International Attention: SuperCamp Scholarships 1938 Avenida del Oro Oceanside, CA 92056 Email to: reverett@learningforum.org GENERAL We award full and partial scholarships. Travel costs to and from SuperCamp are not included. Make sure you can afford the transportation costs before applying for and accepting a scholarship. Previous winners can apply but priority is given to applicants who have never attended SuperCamp. Your letter of reference can be from a coach, a counselor or a teacher. We are looking for them to speak specifically about their experience with you. They do not have to know anything about SuperCamp but we recommend that you refer them to SuperCamp.com to learn about the program. The number of full and partial SuperCamp scholarships awarded each year varies and depends on the amount of funds donated to LFI for SuperCamp scholarships and the amount that families contribute toward tuition. Awards are based on the academic and personal needs of the student and the financial need of the student's family. NO FAXED APPLICATIONS WILL BE ACCEPTED. QUESTIONS OR COMMENTS Executive Assistant, Ruth Everett Phone: 760-305-7317 E-mail: reverett@LearningForum.org Website: www.LearningForum.org www.facebook.com/8keysofexcellence ENROLLMENT Soon after award and acceptance of scholarships, winning applicants will receive an enrollment package that includes the following: Student Profile form and Student/Parent Agreements Health History form Transportation Information form General SuperCamp and enrollment process information Dormitory, communication, and what-to-bring information Campus information including address, telephone number, and directions to registration area LEARNING FORUM INTERNATIONAL Making Great Kids Greater! SuperCamp Scholarship Application Part 1 – APPLICANT INFORMATION Scholarship application and all related materials must be received by April 30, 2015. PARENT/GUARDIAN INFORMATION FINANCIAL INFORMATION (check appropriate boxes) Name: Scholarship awards are based on financial, academic, and personal need. The application process is extremely competitive and only a limited number of the students who apply are awarded scholarships. If you are able to pay or raise the money for tuition and want to ensure a place for your child, please contact our Enrollments Department (800-285-3276, x127). The only way to guarantee a place for your child is to enroll. Address: City: State: ZIP: Home phone: Work phone – Mom: Work phone – Dad: Email – Mom: Email – Dad: My child cannot attend SuperCamp without a scholarship. I am not able to contribute anything toward the tuition. My child cannot attend SuperCamp without a scholarship. I will be able to contribute $__________ toward the tuition. (Check/credit card will not be processed unless scholarship is awarded and accepted.) Email – Student: STUDENT INFORMATION Name: Payment amount: $ Name student likes to be called: Check enclosed (payable to SuperCamp) Address: City: State: Credit card ZIP: ____Visa ____ MasterCard ___ Discover Home phone: Date of birth: Male Present school: Public Private Age at camp: T-shirt size (adult sizes): S Female School grade in Fall 2014: M L XL Year/s: Previous scholarship applications? Yes / No Year/s: ACADEMIC REFERENCE (a teacher or counselor who can give information regarding your child’s current academic abilities and behavior) Name: Public Private Name on card: _________________________________________ Signature: ____________________________________________ I understand that final acceptance for this program is dependent on return and approval of all enrollment documents sent to me by SuperCamp after award of scholarship. I give my permission to the academic reference I have listed to release information regarding my child’s learning ability and behavior. In addition, if a scholarship is awarded and accepted, I give my permission for the photo and information about my child to be used for the solicitation of scholarship funds. (Last name and place of residence will not be used in this process.) Signature of Parent/Guardian: Address: City: Expiration date: ____________ Security code:________________ XXL Has student attended SuperCamp? Yes / No School: Card number: __________________________________________ State: ZIP: Telephone: Date: HOW DID YOU HEAR ABOUT US? PROGRAM, LOCATION, AND DATES Brochure received in mail Workshop Junior Forum: ages 11–13, entering grades 6–8 Magazine/Newspaper Television/Radio Senior Forum: ages 14–18, entering grades 9–12 Past Graduate or Parent Friend Quantum U or Leadership Forum Website/Online Teacher/Counselor Location 1: Location 2: Please indicate specific source name: First-choice date: First-choice date: Second-choice date: Second-choice date: Third-choice date: Third-choice date: LEARNING FORUM INTERNATIONAL Making Great Kids Greater! SuperCamp Scholarship Application Part 2 – PARENT REVIEW This section to be completed by parent or guardian. Attach a separate sheet if required. 1. Why would you like your child to attend SuperCamp? 8. How does your child feel about attending SuperCamp? 2. If your reason is other than for academic improvement, please explain in more detail. 9. How will you know if your child’s experience at SuperCamp was beneficial? 3. What is the one issue you hope we will address while your child is at SuperCamp? 10. What was your gross income for the last tax year (attach copy of IRS return or other proof)? What is your expected income for the current year? (Please include child-support payments.) 4. What are your child’s strengths? Weaknesses? 11. How many dependents do you support with your income? 5. When your child is having difficulty, how does he/she cope? 12. Are there any unusual financial obligations to be paid with your income? 6. Has there been a recent death, divorce, or other trauma in your family? If so, please explain. 13. What is your occupation? Your spouse’s occupation? 7. Please list any specialized doctors, psychologists, or psychiatrists your child has seen in the past five years, and why. 14. Other comments? LEARNING FORUM INTERNATIONAL Making Great Kids Greater! SuperCamp Scholarship Application Part 3 – STUDENT REVIEW 10. In general, describe your attitude about learning. This section to be completed by student. Attach a separate sheet if required. 1. What is your current grade point average? 11. What new skills and attitudes do you hope to gain? 2. What was your grade point average last school year? 3. What would you like your grade point average to be? 12. Please list activities such as sports, clubs, hobbies, etc. 4. Please describe your personality in five words. 13. What work experience have you had? 5. In which subjects do you receive your highest grades? 14. Tell us something about your friends and other relationships. 6. Why do you think you do well in these subjects? 7. In which subjects do you receive your lowest grades? 15. Assume there is one opening left at SuperCamp. Why do you think you should be the person selected to fill that spot? 8. Why do you think you have problems with these subjects? 16. Picture yourself at the beginning of a new school year after attending SuperCamp. Describe yourself in five words or more. 9. Why do you want to attend SuperCamp? 17. If you are selected for a scholarship to SuperCamp, how can you “give back” to your community?
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