SUMMER CAMP SCHOLARSHIP POLICY
Policy Statement
It is the policy of the Crissy Field Center to provide financial assistance to applicants who request it whenever
possible. The intent of this policy is accomplished by setting fees at rates affordable to the majority of residents
in the Bay Area, and by providing financial assistance to those for whom the Crissy Field Center’s fees are not
affordable. Please note that financial assistance is a limited fund and funds will be disbursed based on
applicant’s financial need. Both partial and full scholarships are available. Those that receive scholarships will
automatically qualify for extended care scholarships. Receipt of scholarship award(s) in previous years does not
determine eligibility for current summer camp year.
Selection Process
Applicants must submit income verification (W2, Pay stub, Voucher, SSI, etc.) for the entire household by post
mail, email, or fax. This information will be kept confidential and used only in determining financial eligibility.
Based on a review of the application, the program manager will determine financial assistance eligibility. A
sliding scale based on total household income and number of residents will be used to determine the
scholarship award. Starting March 15th, applications will be reviewed on the 1st and 15th of each month and
applicants can expect notification of their application status, via email, within two weeks of submission.
Fees and Restrictions
Each camper is eligible for one scholarship session per summer. Approved applicants will be asked to pay a
non-refundable $35 scholarship application fee. Recipients of 50% (half) scholarships will be invoiced for the
reduced session price. For example, $749 (cost of camp session) - $324.50 (50% scholarship) = $324.50
(applicant responsibility). Enrollment is not confirmed until payment is received. Payment for the scholarship
application fee and, if applicable, the reduced session price, must be received within two weeks of registration
or slot will be forfeited.
Exception
To learn if your child qualifies for the Urban Trail Blazers program, the Center’s no fee Middle School Program,
contact Sam Tran at (415) 561-7769.
Application
Please fill out the following form COMPLETELY. If you have questions regarding scholarships, please call (415)
561-7754. Return completed form via email to mtran@parksconservancy.org, by fax to (415) 561-7695 or post
mail to:
Crissy Field Center
Attn: Summer Camp
1199 East Beach, Presidio
San Francisco, CA 94129
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SUMMER CAMP SCHOLARSHIP APPLICATION
ONE FORM PER CAMPER
1. Please Print or Type:
Session # (1st Choice) ___ Camp Name ____________________________________________________________
Session # (2nd Choice) ___Camp Name ___________________________________________________________
How did you find out about our camp?
Word of Mouth/Recommendation
Brochure/Poster/Postcard
Website/Social Media
Email Outreach
Summer Camp Fair (Name)__________________________
Has your child ever received a scholarship from Crissy Field Center? Yes____ No____ If yes, when __________
2. Camper Name: _________________________________________________________ Gender: M
F
Birthdate:___________ Age when child starts camp:_____ Grade in Fall:___School name:__________________
T-Shirt size:
YXS
YS
YM
YL
S
M
L
XL
3. Name of Parent(s) or Legal Guardian(s): ________________________________________________________
Address: ____________________________________________ City __________________State_____Zip________
Home phone: ____________________ Work phone: ______________________ Cell phone___________________
Email address:___________________________________________________________
4. Does your child qualify for the free lunch program at his or her school? Yes No (If yes, please skip to Question 6)
5. Monthly Household Income from ALL sources:
GROSS
NET
Earnings (Salary, Wages, Commissions, etc.)
Agency Subsidy (Welfare, Social Security, etc.)
Other (Alimony, Child Support, etc.)
_____________
_____________
_____________
_____________
______________
______________
______________
______________
TOTAL
Please list the total number of adults and children living on income represented here:
Employer’s Name: _________________________________
______________
Employer’s Phone Number ___________________
COPY OF INCOME VERIFICATION (W-2, PAYSTUB, VOUCHER, SSI, ETC)
*This information will be kept confidential and used only in determining financial eligibility.
6. In order to make more scholarships available, we ask you to consider a partial scholarship (please circle below):
I request a 50% scholarship
7. Do you need extended care?
8. Are there any special
should be aware of in determining
I request a full scholarship
Yes
No
circumstances that you feel we
financial assistance?
(Include this information in an attachment or on the back of this form)
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9. I certify that the above information is true and authorize Crissy Field Center to verify all information on this form.
Signature of Parent/Guardian: _______________________________________ Date: ________________________