Apply — Alex Livingston Scholarship Fund

Please Apply Below

Applicant Name

First Name

Last Name

Birth Date

YYYY

Current Grade

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address

Parent/Guardian 1 Name

First Name

Last Name

Parent/Guardian 1 Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent/Guardian 1 Phone Number

(###)

###

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Parent/Guardian 1 Email Address

Parent/Guardian 1 Occupation

Parent/Guardian 2 Name

First Name

Last Name

Parent/Guardian 2 Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent/Guardian 2 Phone Number

(###)

###

####

Parent/Guardian 2 Email Address

Parent/Guardian 2 Occupation

Please list all siblings, their ages, and grades

Please list your favorite sports, activities, hobbies, and interests

How did you spend your last two summers

Have you ever gone to summer camp

If yes

If you have been to summer camp before please answer the following questions

Type of Camp

Please include the name and address of the camp

What did you like best about camp?

What did you like least about camp?

How did you hear about the Alex Livingston Scholarship Fund?

Whom do you most admire, and why?

Why do you want to attend summer camp?

What do you hope to get out of this experience?

Is there any additional information you would like us to know about you?