Summer Camp Application Step 1 of 4 25% CommentsThis field is for validation purposes and should be left unchanged.This field is hidden when viewing the formProject Funded? Yes No This field is hidden when viewing the formGrant YearSummer Camp Name(Required)In which Conference is the camp located?(Required)i.e. Potomac or Allegheny East (no need to include the word “Conference”)Summer Camp Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Does your camp have a website?(Required) Yes No Website(Required) Contact PersonName(Required) First Last Role/Position(Required)Phone(Required)Extension (Optional)Email(Required) Enter Email Confirm Email CLICK HERE to start your application. List any credentials, accreditations or affiliations your camp has:(Required)How many years has the camp been in existence?(Required)Please enter a number from 1 to 350.How many many weeks is the camp scheduled to operate in [NEXT-YEAR]?(Required)Please enter a number from 1 to 53.How many campers are projected to attend in [NEXT-YEAR]?(Required)Please enter a number from 1 to 9999.How many staff members are projected for [NEXT-YEAR]?(Required)Please enter a number from 1 to 9999.Who is the camp director for [NEXT-YEAR]? First Last How many years of experience running summer camps do they have?(Required)Please enter a number from 1 to 50.Please provide your Federal Tax Identification Number (EIN).(Required)Federal Tax Identification Numbers are public record. If your organization has one, you can look it up at THIS SITE. You may also need to check with your local Conference.Grant amount:(Required) $3,500 1. Has the camp offered STEM or STEAM programming before?(Required) Yes No 1a. Previous STEM/STEAM programming(Required)Describe any previous STEM/STEAM programming at the camp.2. Planned Programming(Required)Describe the planned STEM or STEAM program for which grant funds will be used. If you do not have all the required documents, you may either 1) upload a placeholder file, or 2) click the SAVE AND CONTINUE button at the bottom. You will then receive an email link that allows you to come back and complete your application later.3. Financial Statement(Required)Please attach the most recent summer camp program annual financial statement. This is separate from a statement of year-round use of camp facilities.Accepted file types: doc, docx, pdf, Max. file size: 39 MB. 4. [NEXT-YEAR] Proposed Budget(Required)Accepted file types: doc, docx, pdf, Max. file size: 39 MB. 5. Additional Files (optional)Please upload any additional documents that may help us evaluate your application. Drop files here or Select files Accepted file types: pdf, doc, docx, xls, xlsx, Max. file size: 39 MB, Max. files: 5. Signature(Required)I certify that the information provided in this application is true and correct, to the best of my knowledge. You may need to click PREVIOUS or NEXT to make sure your work is saved before clicking SAVE & CONTINUE.