2019 Program Registration and Scholarship Application

Student's Name *

First Name Last Name

Student's Date of Birth *

Must be at least 5 years old and currently attending a full time KG or preschool program

Student's Gender *

Female Male

Student's Current Grade *

Must be at least 5 years old and currently attending a full time KG or preschool program in 2018-2019

Student's Current School *

Add city and state, if not an MCPS school

Parent's Name *

First Name Last Name

Email *

Confirmation Email example@example.com

Phone Number *

Address *

Street Address

Street Address Line 2

City State

Zip Code

Second Parent/Care Giver's Name

First Name Last Name

Second Parent/Care Giver's Email

Confirmation Email example@example.com

Second Parent/Care Giver's Phone Number

Allergies, Special Needs, and/or Accommodation Requests *

Emergency Contact(s) (in case parent/care giver cannot be reached) *

Are you applying for a scholarship or requesting a payment plan? (scholarships cannot be combined; only one type per child) Please read requirements for scholarship qualification below) *

Merit-based Need-based None

Which camp are you interested in applying for? (a separate application for each camp is required) *

1) Arabic Sofrah: Food Traditions and Nutrition (July 1-July 19; Ages: 9-12; location: Sandy Spring Museum, Olney, MD) 2) (This camp is full) Sugar and Spice at Tea Time (July 1-July 19; Ages: 5-8; location: Sandy Spring Museum, Olney, MD) 3) (This camp is full) Little Engineers Build Bridges (July 29-August 16; Ages: 9-12; location: John's Hopkins University-Montgomery County Campus, Rockville, MD) 4) (This camp is full, but there is a waiting list with 4 people on it so far. Once we have 6 people on it, we will open a second section) Little Entrepreneurs: Souq in Action (July 29-August 16; Ages: 5-8; location: John's Hopkins University-Montgomery County Campus, Rockville, MD)

Need-based scholarships are available to families that

(1) receive government assistance such as food stamps, housing, health insurance, etc.

To apply, upload proof of government assistance showing the date of the latest occurrence and name(s) of the beneficiaries (if not applicant, please also upload proof of beneficiary's relationship to the applicant).

or (2) families with a combined household income below the self-sufficiency level for the family size and county of residence.

To apply, upload the latest income tax return documents showing gross taxable income and family size/number of dependents.

To apply for a merit-based scholarship, upload the following:

(1) the applicant's latest report card or a recommendation letter from a teacher or official school representative attesting to the applicant's merit;

and

(2) a cover letter (by the parent) or a 1-2 minute video describing/showing applicant's merit at current school or an academic program, including a brief statement on why the applicant is interested in the summer program and in learning Arabic.

If any of the scholarship application requirements above are missing, you can still submit the application, but processing will be withheld until all requirements are completed.

Upload documents supporting scholarship application

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IMPORTANT FINANCIAL INFORMATION (Please read through before submitting the form)

A non-refundable processing fee of $25 is required for each application.

A $150 mandatory deposit is required at the time of registration. This deposit is to guarantee and secure your child's spot and will be applied towards the child's tuition balance the week before camp starts. If your child is awarded a full-tuition scholarship to attend a camp, the deposit will be applied towards camp fees and costs incurred during camp, if any, and any remaining amounts will be refunded upon successful completion of all program and scholarship requirements (within two weeks of the end of the last camp).

Tuition scholarships cover 50-100% of the tuition based on the applicant's documents and available funds. Scholarship recipients only pay the amount not covered by the scholarship--amount to be determined within one week of the completed application date. Scholarship recipients must attend all 3 weeks of camp as per scholarship terms and conditions.

Cancellation of registration must be at least 30 days before the start of camp in order to get a deposit refund. If cancellation is requested less than 30 days in advance, the deposit will be forfeited.

Camp fees will be calculated and announced to parents closer to the camp start dates based on costs of field trips, camp T-shirts, etc. and payments of those fees are due before camp starts.

If registering for a camp that is full and has a waiting list, the amount of the deposit will be fully refunded as soon as we determine that we are not able to offer your child a spot in that camp.

In the case of unexcused excessive absence resulting in camper's inability to complete program/scholarship requirements, the deposit will be forfeited and parents/guardians of the scholarship recepient may be billed for the amount of the tuition scholarship awarded.

For alternative payment methods or assistance in paying camp deposit, contact us at info@KalimahPrograms.org

Payment Info *

Application Processing Fee (non-refundable) $ 25.00

Camp deposit (the deposit amount applies towards camper's tuition and fees balance; if the balance is zero, the deposit, or any remaining parts of it, will be refunded upon successful completion of camp/scholarship requirements as explained above.) $ 150.00

Camp tuition (Only if attending one or two weeks of the camp and/or not applying for a tuition scholarship) $ 350.00

Number of Weeks

Extended Hours (Optional: 3 choices) Free

Morning and/or Afternoon (per week) Quantity (number of weeks)

Enter coupon

Total $ 0.00

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Other Program(s) of Interest

Comments/Questions

Kalimah Programs' Registration & Scholarship ِApplication Form

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