CAMIO Scholarship Application

Personal Details

Name *

First

Last

Email *

Birthday *

Phone *

Address

Address Line 1

Address Line 2

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Please provide details regarding extracurriculars, hobbies, or interests you have.

Did your family have a household income under $50,000? *

• Yes
• No

Do you live with a disability? *

• Yes
• No

Are you or were you in foster care? *

• Yes
• No

Were you born outside the US? *

• Yes
• No

If yes...where?

School Details

School Name

Graduating Year

Additional Details

Have you ever received a scholarship from our program? *

• Yes
• No

Are you planning to major in something taught at CAMIO (art, trades, STEM, business start-up, etc.)? *

• Yes
• No

What race do identify as? *

• American Indian
• Asian
• Black or African American
• Hispanic or Latino
• Native Hawaiian or Pacific Islander
• White

Essay

Your essay should be 1200-1500 words and address your intended major and career/personal goals related to Come and Make It!. Include why a scholarship is important to you, any academic and non-academic accomplishments, personal characteristics, or experiences that make you uniquely worthy of a scholarship.

Date Signed

Submit