Cityball Camp Scholarship Application

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Time Warner Cable -- Kansas City

CityBall Camp Scholarship
Application

Summer Camp  ~  Summer Camp  ~  Summer Camp  ~  Summer Camp  ~  Summer Camp

City Ball ...a documentary

Download Hardcopy
Application Form (PDF)

 

About the CityBall Scholarship Fund and Application

 

The mission of the CityBall Scholarship Fund is simple.
...send as many KC area kids to summer activities camps as possible.
 

Baseball

Basketball

Football

Golf

Soccer
Softball

Track
Volleyball

Band
Broadcast
Drama

…any camp you are considering!


If you, your son or daughter, or any youth you know, (Kindergarten through 12th grade) is looking forward to attending an athletic or any other type of camp this summer, a CityBall Scholarship will pay for that opportunity!

 

Application Deadline is:
May 1, 2010

 

To apply, simply fill out our online application form (see below) or download a hardcopy form fill out and send to us by US mail.  Soon after the deadline (May 1, 2010), the CityBall Advisory Council, made up of members from Metro Sports and the Greater Kansas City Community Foundation, will decide who receives the awards.

 

Recipients will be notified by late May.

 

It's our hope that lessons learned and positive experiences gained by attending a camp, will lead the scholarship award winners on a better path - for themselves and our community.

   

 


Online Application Form

 

Please fill in ALL fields below.  Please use Upper Case Letters only where appropriate

If you leave this page before submitting. there is a chance that you will lose all inputted data and you will have to start over.
 

 

Report a problem with this form

 

APPLICANT DATA  (Youth applying for scholarship)

 

Last Name  
     
 
Middle Name
    
 

First Name

 

Street Address  


City                                                  State                         Zip
         

 

Male     Female    

Date of Birth                Current Grade
          
                                      
 Ex: 6th

 

Name of School you attend 
     

                               

Parents'/Guardians’ Names:  

 

Parents'/Guardians’ Address
  (if different from applicant)



City                                                  State                         Zip
         

 

Parent Home Phone                   Parent Cell Phone
                 

Include Area Code                           Include Area Code
 

Parent E-mail address

 

ACTIVITIES DATA

 

 

Name & Type of camp you want to attend:

 

Date(s) of camp you want to attend:

 

Cost to attend the camp:

                                   

Why do you want to attend this camp? 

 

What do you hope to learn or gain? 

 

What are your future goals

 

If there are special financial circumstances which
will affect your camp experience, please describe:

 

I hereby confirm that all information provided on this application is correct and I understand that any false information automatically disqualifies me from eligibility.  If YES, check this box


Once you are satisfied with your responses click

 

Report a problem with this form

 

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