Summer Camp Scholarship Application

Henrico 4-H Camp and Jamestown 4-H Center

Scholarship & Tuition Assistance Program

Philosophy and Purpose

Each summer, the 4-H Center hosts up to 1800 youth in a diverse range of outdoor camping activities. We offer an exceptional camp for youth ages 9 to 18, bringing together youth of diverse backgrounds, religions, races, and cultures. Campers have an opportunity to explore shooting sports, swimming, low ropes teambuilding, outdoor living skills, marine science, canoeing, kayaking, volleyball, basketball, crafts and much more! The purpose of the Henrico 4-H and Jamestown 4-H Center Scholarship & Tuition Assistance Program is to create a diverse camp population by providing financial support to young people who would not otherwise have the resources to participate.

Eligibility for Assistance

Applicant must: 1) demonstrate financial need based on the scholarship & tuition assistance application and parent/guardian’s most recent IRS tax return, 2) be accepted for attendance through the county 4-H program. Not all eligible applicants will receive an award as funds are limited. Campers will be accepted without regard to race, color, national origin, sex, religion, disability, political beliefs, sexual orientation, or family status. Unfortunately Henrico County does not offer 100% scholarship to campers. A $50 camp deposit is required with the Scholarship & Tuition Assistance application to hold the campers space. Notification of the granted scholarship amount and remaining camp balance will be sent to the camper by June 1st. If the camper is not able to attend and cancels by July 1st they are eligible for a refund.

Criteria for Awards

Scholarships are based on: 1) financial need, 2) potential for growth and development through the 4-H Camping experience, 3) funding availability. Parents/Guardians must agree to allow their children to attend 4-H Camp for the entirety of the week long session. Late arrival and/or early departure are not permitted.

How to Apply

Applicants must submit a completed Scholarship & Tuition Assistance application, including the Adult Instructor Recommendation on page 4, a copy of the most recent IRS return of the parent or guardian, and a $50 check (or money order) for a camp deposit to hold the camper space. Incomplete applications will not be reviewed. All applications are due by Friday, May 11th. If you have any questions please call Kendra Young or Reggie Morris at (804)501-5160.

Henrico 4-H Scholarship & Tuition Assistance Application 2012

DUE DATE: May 11th (To Be Completed by Parent/Guardian)

Camper: First Name Last Name

Address City State Zip

County Home Phone Age Male Female

Birthdate New Camper Returning Camper

Parent(s) E-mail

School Present Grade

(To be completed by Camper)

All About the Camper ~ My Name is:

What do you like to do in your spare time?

Are you involved in any 4-H related activities now? Please describe them (school clubs, county programs, classes, competitions, etc.)

What classes would you want to take at 4-H Camp and what do you hope to learn?

How do you feel about living in a bunk room with 8-12 other people?

How do you feel about being away from home for a full week?

Why do you want to attend 4-H Camp; please attach extra pages if necessary.

Please check the answer that best describes your feelings about the following statements.

Henrico 4-H Scholarship & Tuition Assistance Application 2012

(To be completed by a person who instructs the applicant.)

Adult Leader/Instructor Recommendation Form

Applicant Leader/Instructor Title

School/Organization Years you’ve known this applicant

Please describe your interaction with the applicant and experiences you have had with the individual.

From your experiences of working with the applicant please describe your observation of the applicants attitude, behavior, willingness to learn, enthusiasm, and cooperation with others.

How will this applicant benefit from the 4-H Camp experience? What do you hope they will learn at 4-H camp?

Please use the space below for additional explanations or circumstances you would like the committee to consider when reviewing this application.

If you have any questions, please contact Kendra Young or Reggie Morris at (804)501-5160. This form may be mailed separately from the rest of the application. Please return as soon as possible to the student directly or to: