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ENVIRONMENTAL CAMP SCHOLARSHIP APPLICATION

This year we are offering three (3) camp scholarships for a weeks’ stay on Maine’s scenic HogIsland, a landmark of environmental education since 1936. The sessions’ program will take place on the 330-acre island in mid-coast Maine’s beautiful MuscongusBay and will be led by some of the nation’s most-respected naturalists and environment educators.

Applicants must reside in Lackawanna, Susquehanna, Wayne, or Pike County, Pennsylvania.

Are you interested in nature and conservation? Do you love the outdoors? Do you like adventure? Are you considering the possibility of an environmental career?If you have answered ‘yes’ to any of the above, you will want to apply for a camp scholarship offered and paid for by the Northeast Pennsylvania Audubon Society.

AudubonHogIsland Summer Camp,Ages 14-17 –June 22-27

The program runs for six days and five nights and the country's best know birders and ornithologists will lead sessions on field identification, bird song recognition and conservation practices. The program includes the opportunity to observe Audubon's seabird conservation field research in action and is the only HogIsland program that lands on Eastern Egg Rock during Puffin breeding season.

Audubon Hog Island Summer Camp is for teens ages 14-17 with avid interest in the outdoors and birds. Limit of 16 participants per session. The scholarship includes all meals, housing, instruction and boat trips. Teens must arrange for transportation to and from the Audubon Dock in Bremen, ME at the start and finish of this session.

This program requires physical and emotional maturity and will be awarded based on the information provided on the attached application. For additional information visit:

STUDENT ENVIRONMENTAL CAMP SCHOLARSHIP APPLICATION

BIOGRAPHICAL INFORMATION

Name ______

first middle initial last

Address ______

number and street apt. city/town state zip code

Telephone ( ) ______Date of birth ____/____ /____

FAMILY

Mother (or Guardian) ______Father (or Guardian)______

EDUCATION

CurrentHigh School ______Expected Completion (mo. /yr.) ______

High School Address ______

Name of teacher writing recommendation ______

Telephone ( ) ______

Dates of attendance (include attendance at any other high school or academic summer programs):

______

______

INTERESTS AND ACTIVITIES (attach separate sheet if necessary):

Please describe your current academic interests:

______

______

Briefly describe your extracurricular activities:

______

______

PERSONAL STATEMENT (attach separate sheet to this form)

It is our aim to know you as well as possible through this application. Please take this opportunity to tell us something about yourself that will give us clearer insight into who you are and how you think. You may choose to describe why you are interested in attending this program, discuss an environmental topic of interest to you, or find another way to help us know you better. The topic and approach are entirely up to you.

TO COMPLETE YOUR APPLICATION

  1. Ask a teacher who is familiar with your work to complete and return the recommendation form.
  2. A copy of your school transcript MUST accompany this application (including fall grades, and, if available, PSAT, SAT or ACT scores).
  3. The completed application must be taken to your Guidance Office for Processing

THE AUDUBON SCHOLARSHIP COMMITTEE

MUST RECEIVE YOUR APPLICATION BY APRIL 1ST

Student Signature ______Date ______

Parent/Guardian Signature ______Date ______

Recommendation
For:
“AudubonHogIsland Summer Camp”
Ages 14-17, June 22-27, 2014
Audubon Camp Scholarship /
Northeast Pennsylvania Audubon Society
P.O. Box 711
Honesdale, PA18431
570-253-9250

Student’s name ______

TO THE STUDENT

Please print your name above and give this form to a teacher who is familiar with your work.

TO THE TEACHER

The Northeast Pennsylvania Audubon Society seeks to provide youth the knowledge and leadership to become conservation leaders in their communities and beyond. The AudubonHogIsland camp scholarships offer a unique and life-changing experience for the youth of Lackawanna, Susquehanna, Wayne and PikeCounties.

Your remarks and recommendation concerning this student will be of great assistance in our evaluation of his or her application to the program.

Please check the appropriate box for each item below and provide a written recommendation of the student on the second page of this form.

No basis to Judge / Below average / Average / Above Average / Excellent
Ability in high-school courses
Potential for college-level work
Intellectual curiosity
Motivation
Emotional stability
Sociability with peers
Maturity
Creativity
OVERALL IMPRESSION

Please complete both pages of this form

ADDITIONAL COMMENTS

Your Name: ______Email______

Address ______

In what course(s) have you taught this student? ______

Signature: ______Date:______

School:______Telephone:______