BUCKSKIN COUNCIL

SCHOLARSHIP APPLICATION

CONFIDENTIAL

APPLICATION FOR BUCKSKIN SCOUT RESERVATION SCHOLARSHIP

Scout's Name ___________________________ Phone # _____________ 

Date of Birth___________

Address______________________________________________________ 

City____________________ State ______ Zip________

Troop number ________________ 

District ______________________________________________

Camp you wish to attend _________________________

Site ____________ Date _____________

Maximum Scholarship is 50% of the early fee. Please include a brief "statement of need" for scholarship. Scholarships only apply to the basic camp fee.

YOUTH WILL PAY $____________

UNIT WILL PAY $______________

SPONSOR WILL PAY $__________

SCHOLARSHIP NEED $__________

The above request for Scholarship assistance is based on need as approved by those signing below.

Parent/Guardian _______________________________________ 

Address _____________________________________________

City / State / Zip _______________________________________ 

Phone _____________________

Unit Leader ___________________________________________

Address ______________________________________________

City / State / Zip________________________________________ 

Phone _____________________

Council Approval __________________________ 

All Signatures and statement of needs must be completed to be considered for Scholarship.

Send Application to:

Buckskin Council, B.S.A.
2829 Kanawha Blvd., East
Charleston, WV 25311