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APPLICATION DEADLINE EXTENDED TO MAY 9TH!
Student Application Form Kibler Lumber Wings Camp Scholarship In Cooperation with Cincinnati Museum Center
June 9-12, 2008
Edge of Appalachia Preserve
3223 Waggoner Riffle Rd.,
West Union, OH 45693
Students Ages 9-12 Eligible
Name:_______________________________________
Address:____________________________________
City:____________________State:_____Zip:__________Ph:_________________
Age:__________________School
Grade:________________Gender:____________
List below the subjects you would like to learn about if you are selected to come to Kibler Lumber Wings of the Americas Camp.
Why do you think coming to the Kibler Lumber Wings of the Americas Camp would benefit you and your community?
On the back side of this sheet please explain in your own words why you would like to come to the Kibler Lumber Wings of the Americas Camp.
Have your teacher attach the Teacher’s Recommendation Form and mail or drop off both forms to:
Jenny Conrad, Sales Manager Kibler Lumber
665 E. Main St., P O Box 3730,
Mt. Orab, OH 45154
937-444-2555/800-523-4716 Ext 3023
Must Receive at Kibler Lumber by Friday, May 9, 2008
Teacher Recommendation Form Kibler Lumber Wings Camp Scholarship June 9-12, 2008 Students Ages 9-12 Eligible
Please attach this form to the Student Application Form and mail or drop off both to:
Jenny Conrad, Sales Manager Kibler Lumber
665 E. Main St., P O Box 3730,
Mt. Orab, OH 45154
937-444-2555/800-523-4716 Ext 3023
Must Receive at Kibler Lumber by Friday, May 9, 2008
Date:______________________
Student’s Name:_______________________________________
Teacher’s Name:_______________________________________
School:_____________________________________
School Phone Number:_____________________
Briefly explain how you think this student would interact with others, both children and adults, in a camp situation.
Describe this student’s ability to work independently and follow verbal directions.
Briefly describe how attending Kibler Lumber Wings of the Americas Camp would benefit this student.
Please explain why you recommend this student for the Kibler Lumber Wings of the Americas Camp Scholarship. Include the student’s interests and strengths in natural sciences. |
Kibler Lumber Wings Camp
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