Camp Scholarship Staging – Shine Through The Rain Foundation

Before applying to the Camp Scholarship Program, please note the following:

Applications can be considered year-round.
All camp candidates for consideration must be under the age of 18.
Camp candidates must be patients in active treatment or remission from life threatening illness, OR
Camp candidates may be dependents of a parent/guardian in active treatment for a life-threatening illness.
When reviewing applications, a camp candidate’s remission date will be taken into consideration for funding.
A maximum of $500 may be approved per camp candidate, per year. A Camp Scholarship place may be at any camp of the applicant’s choosing (within Canada).
Applications must be submitted prior to camp attendance; we cannot reimburse camp fees.
Section 1: Complete the Family Information section of the application, being sure to complete all questions, including family income.
Section 2: Complete the Health Information section of the application, being sure to complete the Referring Health Care Professional contact information.
Section 3: Complete the Camp Information section of the application, being sure to include the total payable amount, the type of camp and the camp’s name and address.
Section 4: Include a copy of the camp invoice or registration form. If a copy of the invoice or registration form is not attached, the application will not be considered for funding.
Section 5: Include a brief narrative from an appropriate Health Care Professional, describing the patient’s situation, impact on the camp candidate, the family’s need and any further information to support the application.
Section 6: Applications must be reviewed, signed and dated by both the Parent/Guardian and Health Care Professional.
All Health Care Professionals will receive notification (approved or declined applications) via email.
Cheques will be made payable to each camp and sent to the family for distribution and delivery.
Must be submitted online

Section 1: Family Information

Camp Candidate Name(Required)

Birth Date(Required)

Gender

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)

Name of Parent(s)/Guardian(s)(Required)

Total yearly family income(Required)

Section 2: Health Information

Patient Name (if different to above)

Relationship to Camp Candidate(Required)

Diagnosis(Required)

Date of Diagnosis(Required)

Date of Remission(Required)

Name of Physician/Oncologist(Required)

Hospital/Treatment Facility(Required)

Referring Health Care Professional(Required)

Phone(Required)

Fax

Email(Required)

Section 3: Camp Information

Total Cost(Required)

Type of Camp(Required)

Name of Camp(Required)

Camp Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Date of Camp(Required)

Have you applied to other programs regarding this funding request? if so, which one(s)?

Section 4: Copies Camp Invoice

Please attach a copy of the camp invoice and/or registration form for the chosen camp. Note: this supporting documentation is essential for the application to be considered

Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 12 MB, Max. files: 5.

Section 5: Narrative

Please attach a brief narrative from an appropriate Health Care Professional, describing the patient's situation, impact on the camp candidate, the family's need and any other releveant information that may serve to support the application.

Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 12 MB, Max. files: 5.

Section 6: Health Care Professional Contact Info

Health Care Professional Name(Required)

First Last

Health Care Professional Signature(Required)

Date(Required)

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