ࡱ> '` nbjbj .,. %PPPP8$,VTT"vvvKKKLh!PN @KNNPPvvN^PRvvN%"qvH A=&0VE,""q"qKlUKKKL^KKKVNNNN $PPPPPP   Post 960 Pennsbury District BSA Funds for the American Legion Post 960 Pennsbury District BSA Camp Scholarship Program are provided as a donation by Levittown Memorial American Legion, Post 960 located at 1537 Woodbourne Road, Levittown, PA 19057. Selection of the chosen applicant(s) and amount awarded will be determined by a committee as appointed by the District Chairman of Pennsbury District of Bucks County Council, BSA. Scholarship is open to any scout currently registered with any unit of the Pennsbury District and is awarded for the purpose of attending a Bucks County Council camp in the year the application is made; if Bucks County Council does not offer a Cub camp the scholarship can be used at another camp in the southeastern PA area. In the event a selected applicant becomes unable to attend the funds will be reallocated if time permits. Directions: Please PRINT all information. Parent and/or Guardian must complete and verify ALL information on page 2. Applications should be delivered to Pennsbury District Chairman no later than February 28 of the year the scholarship is to be used. If scholarship is not used in that year it is forfeited. A completed application does not guarantee a scholarship. Scholarship applications can be from any Pennsbury scouting unit and must be attending a Bucks County Council camp or approved Cub Camp. Scholarship amount will be determined by the scholarship committee. All decisions of the committee are final. Selected applicants will be notified through their individual scouting unit. Revised 12-20-2012 Unit (Pack/Troop/Crew/etc) __________ Unit # __________ Date of Application: _________________ Applicants Name: _____________________________________ Age:___________ Address: _____________________ City: ___________ State: ______ Zip: _________ Phone: ( ) ______ - _________ Parent(s)/Guardian(s) Name: _______________________________ Camp Attending: _________________ Dates attending _____/_____/_____ to _____/_____/_____ Has applicant applied for any other scholarships for this same camp? (circle one) Yes No Has applicant received any camp scholarship in previous years? (circle one) Yes No Reason for scholarship request: _____ Parent(s) or Guardian(s) currently or recently unemployed _____ Extreme illness in immediate family with accompanying financial burdens _____ Large immediate family size with minimal income _____ Other (please explain) ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ Total camp fee $________ Scholarship amount requested $________ Disclaimer: By the offering of this camp scholarship the American Legion, American Legion Post 960, Pennsbury District, their members nor their agents assume any responsibility for the condition of the camp or the program offered by the camp. Scholarship recipients agree to hold harmless any and all persons and organizations involved with this scholarship in the case of injury, accident, or incident. Signatures: _________________________ ________________________ Parent/Guardian Unit Leader Revised 12-20-2012  r     PAGE  PAGE 2 American Legion Post 960 Pennsbury District BSA Camp Scholarship Program Application Admin Use Only Application Approved: Yes No Amount of Scholarship awarded: $_______________ Signature of Scholarship Committee Chair: ___________________________________ +78NOPRS`a) ,  ! * vnf[OhxEhC5CJaJhxEhxECJaJhxECJaJhCCJaJhxEhCJaJhxEh6LCJaJhxEh]CJaJhxEhZ+CJaJhxEhCCJaJhxEh3[CJaJhxEh Shx!h SCJaJhx!hx!CJaJhx!h: j<h g5UhX7jhx!Ujhx!UmHnHuOPQRS  LMNahigdx!$a$gdxEgd!B & Fgdx!gdX7.Sm  [ f   ? 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