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Summer Campership Application

Deadline to apply is Friday, March 26th, 2021

Our scholarships are opportunities for students with a keen interest in science, medicine, arts and nature who may not be able to afford full registration fees. The scholarship includes all classes, materials and field trip expenses. Students awarded a scholarship will need to pay a $25 nonrefundable deposit in order to attend. These scholarships are provided through generous gifts from various businesses, foundations and individuals that believe in supporting science and health education programs at the Cleveland Museum of Natural History.

Drop-off and pick-up for in-person camps is at The Cleveland Museum of Natural History. EXCEPT: Science Explorers: Meet Me At Mentor Marsh, students must provide their own transportation to and from the Mentor Marsh (5185 Corduroy Road, Mentor.) each day to participate. All camps run from 9am to 4pm daily. Students must arrive between 8:30-9:00 am and be picked up by 4:15 pm. Junior Medical Camp Students should arrive between 9:00-9:30 am and be picked up by 4:15. Students must provide their own lunch each day of camp.

Circle Sampler Camp (CSC) campers explore the scientific, artistic, musical, theatrical and cultural institutions on and around historic Wade Oval. This unique all-day program partners with several of the amazing institutions in the University Circle district to enrich your child’s understanding of our world. For students entering grades 1-5.

Junior Medical Camp (JMC) explores the science behind medicine and human health, and is loaded with hands-on labs and fun activities for those interested in learning about a career in medicine. Students attend sessions at the Museum to learn about microbiology, genetics, forensic science, physical therapy and other topics related to human health. Each week includes interactions with scientists, experiments, and real dissections. For students entering grades 6-12.

Science Explorers: Meet Me At Mentor Marsh Campers meet at Mentor Marsh each day for lessons with naturalists and museum educators exploring science and nature in this idyllic setting. Lessons will take place both in the nature center and on the trails of the Marsh. Campers gain exposure to a range of sciences including archaeology, biology, geology, and ecology For students entering grades 3-5.

Virtual Astronomy Camp Become an expert on basics like the sky, the seasons, and the phases of the moon. Discuss how we know what we know about the history of our Solar System and our Universe. For students entering grades 6-8.

Virtual Medical Camp features live dissections, real experiments and virtual access to behind the scenes Museum spaces. This entertaining and educational virtual experience features career opportunities available in science and medicine throughout the week. A kit of worksheets will be sent after registration and prior to the start of the camp session. For students entering grades 6-12.

To Apply (All pages must be submitted and complete for eligibility)

❑ Select camp(s) of interest (page 2)

❑ Complete the Scholarship Application and Registration Form in full (page 3)

❑ Submit the letter of recommendation from a teacher, guidance counselor or principal (page 4)

❑ Provide a written statement from your school office stating eligibility for reduced price or free meals. Homeschooling families: see info on last page. (No written statement needed for students in the Cleveland Metropolitan School District and Cleveland Hts.-University Hts. school District. All students in those districts qualify) (page 5)

Scholarship recipients will be notified via email or phone no later than May 1st. All information is confidential.

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Step 1—Select a camp date

Please mark with an “X” the weeks of camp you are interested in attending. Recipients of a “Campership” will be contacted by May 1st.. Students may receive only one scholarship per year. Grade levels indicated are as of Fall 2021.

Circle Sampler Camp (entering grades 1-3): □ June 14-18 -or- □ June 21-25

Circle Sampler Camp (entering grades 4-6): □ July 5-9 -or- □ July 12-16

Junior Medical Camp: Middle School (entering grades 6-8): □ July 5-9 -or- □ July 12-16

-or-

Junior Medical Camp: High School (entering grades 9-12): □ June 14-18

Science Explorers Camp (entering grades 3-5): □ June 21-25 -or- □ July 5-9

Virtual Astronomy Camp (entering grades 6-8): □ June 14-18

Virtual Medical Camp (entering grades 6-12): □ June 7-11 -or- □ July 19-23

All forms must be completed and returned no later than Friday, March 26th, 2021 to:

|Summer Camp Scholarship Program | -OR- |Applications can also be emailed: |

|Cleveland Museum of Natural History | |SummerCamps@ |

|1 Wade Oval Drive | | |

|Cleveland, Ohio 44106 | | |

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Scholarship Application and Registration Form

Step 2—Basic Information

Student Full Name:

Grade Level in Fall 2021: _ Date of Birth: _______/________/_________

Street Address: ___________________________________________________________________________

City: State: Zip: _______________

Student Email Address (if applicable): __________________________________________________________

Student Cell Phone (if applicable): _____________________________________________________________

School (please note if homeschooled): __________________________________________________________

School District: ____________________________________________________________________________

Parent/Guardian Name: _____________________________________________________________________

Parent/Guardian Email Address______________________________________________________________

(Must provide in order to receive scholarship materials and information)

Parent/Guardian Phone Number: _________-____________-_____________

Parent/Guardian Address (if different from student address)

Street Address: ___________________________________________________________________________

City: ___________________________________________________State: ___________Zip: _____________

All forms must be completed and returned no later than Friday, March 26th, 2021 to:

|Summer Camp Scholarship Program | -OR- |Applications can also be emailed: |

|Cleveland Museum of Natural History | |SummerCamps@ |

|1 Wade Oval Drive | | |

|Cleveland, Ohio 44106 | | |

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Step 3—Reference

Please give this form to a teacher, guidance counselor, or principal who knows your child well. Ask them to fill it out and return it to you in a sealed envelope or they can send it directly to us no later than Friday, March 26th, 2021

| Summer Camp Scholarship Program |-OR- |Applications can also be emailed: |

|Cleveland Museum of Natural History | |SummerCamps@ |

|1 Wade Oval Drive | | |

|Cleveland, Ohio 44106 | | |

Student’s Full Name: ___

School (please note if homeschooled): ___

School District: ___

|Circle the number that best describes how well|1 = “Strongly Disagree” |Please comment |

|the statements describe this student. |5 = “Strongly Agree” | |

| |N/A = not applicable | |

|Eager to learn and try new things. |1 2 3 4 5 N/A | |

|Has a strong interest in science. |1 2 3 4 5 N/A | |

|Follows directions and obeys rules. |1 2 3 4 5 N/A | |

|Works well with other students. |1 2 3 4 5 N/A | |

|Demonstrates respect for others including |1 2 3 4 5 N/A | |

|peers and adults. | | |

|Has a good understanding of science concepts |1 2 3 4 5 N/A | |

|for grade level. | | |

Why should this student receive a scholarship for summer camp at the Cleveland Museum of Natural History?

_____

Name and Title of person completing this form: ___________________________________________________

Signature: ___Date: __________________________

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Step 4—Income Requirements

Check with your school office or school guidance counselor and ask them to provide a letter stating that you qualify for the national reduced price meals program. This letter must be received no later than Friday, March 26th, 2021.

□ Please check this box if the student attends a CMSD or CHUH school. We do not require a letter of lunch program qualification for CMSD/CHUH students.

If you do not receive free or reduced price school meals, but you still meet the income guidelines, have your school send a letter stating that you qualify. If you cannot get a letter from your school, please submit a notarized letter signed by a witness that states that you meet the income guidelines.

Homeschooling families, please submit a notarized letter signed by a witness that states that you meet the income guidelines.

Income Eligibility Guidelines – School Year 2020-2021

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Step 5— Send in your application

Put all the application pages together. Check the list on the first page to make sure you have everything. Return all completed forms no later than Friday, March 26th, 2021 to:

|Summer Camp Scholarship Program |-OR- |Applications can also be emailed: |

|Cleveland Museum of Natural History | |SummerCamps@ |

|1 Wade Oval Drive | | |

|Cleveland, Ohio 44106 | | |

Scholarship recipients will be notified via email or phone no later than May 1st. All information is confidential.

We are happy to answer any questions about the process! Contact us at: SummerCamps@

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