2024 College for Kids & Teens Scholarship

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Don’t let financial roadblocks stand in the way of your child attending College for Kids and Teens. Scholarships are available on a first come, first served basis.

Please complete the form below to be considered for a scholarship. If selected, a Clark State team member will be in touch to confirm your registration. Submit a new scholarship request form for each individual student. (Do not complete a registration form if you submit a scholarship request form). Scholarship recipients must meet 150% of the Federal Poverty Levels.

College for Kids and Teens Scholarships are available through the generous support of our donors and The Braxton Miller Foundation.

Parent/Guardian Information

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Email Address

Parent/Guardian Phone Number

Annual Household Income

Number of Family Members in Household

Is the student currently in foster care?

Provide names of adults authorized to pick your student up from camp (if applicable):

Mailing Address

Country

Street

City

Region

Postal Code

Please tell us about the impact of this scholarship. What would the scholarship mean to your family and why is it being requested?

Other Information to be Considered (if applicable)

Preferred Session(s)