Summer Camps Scholarship Application

PARTICIPANT INFORMATION:

*First Name

Preferred Name (used in official communications)

*Last Name

Student Cell Phone

IMPORTANT NOTE: Please make sure to enter the email addresses accurately, as we use email to send program information, confirm enrollment, cancellation notices, and other important information.

*Student Email Address

*Birthdate

*Mailing Address

Country

Street

City

Region

Postal Code

*Grade of camper during the CURRENT 2025-26 school year:

*Sex (as assigned at birth)

Female

Male

School

How did you hear about South Dakota Mines camps?

SUMMER CAMP:

Once the scholarship application is submitted, it will be reviewed in within a week of submission. One scholarship per student. This scholarship covers the cost of camp.

Note: You will need to select Grade of Camper first, and then the camp options will be available.

*Camp Applying for:

*PARENT/GUARDIAN INFORMATION:

*Parent/Guardian First

*Parent/Guardian Last

*Relationship

*What is the highest level of education completed by either parent/legal guardian?

IMPORTANT NOTE: Please make sure to enter the email addresses accurately, as we use email to send program information, confirm enrollment, cancellation notices, and other important information.

*Parent Email Address

*Parent Cell Phone

*STUDENT STATEMENT:

In 500 words or less, please tell us why receiving a scholarship to attend this camp is important to you. Include information on the following items:

Tell us why you are interested in attending this camp
What career fields you are thinking about going into
Finally, why you need the scholarship

*I understand that by completing an application it does not guarantee scholarship assistance. I also understand I would be required to pay any remaining balance on my account to participate in the program.

Yes

No

Summer Camps Scholarship Application

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