Step 1 of 4 25% Introduction The mission of the Special Education Foundation is to assist children with disabilities served by the Special School District in St. Louis County achieve success in areas not supported by tax dollars or United Way. The Kid-to-Camp program is one of the Foundation’s most successful programs. Through this program, the Foundation provides financial assistance to parents so their child can attend camps not only in the summer, but during any extended break throughout the year. The Special Education Foundation understands that bridging the instructional gap during academic breaks is critical and that the additional expense of a camp can be a burden for many. To that end, SEF picks up where tax dollars stop – providing camp funding to students served by the Special School District of St. Louis County. Application Requirements: The applicant must have an Individualized Education Plan (IEP) and receive services through the Special School District (504 Plans are not eligible). Campership awards are based on financial need and student benefit. All application fields MUST be complete. Parent/guardian signatures and statement of financial need are required. A copy of pages 1 and 2 of parent/guardians(s) most recent 1040 tax form must accompany the campership application. (Please remove social security numbers from the form) Two letters of recommendation are required – one must be from the student’s SSD teacher. Funding is for the camp fee only. Registration fees are not included. Selection Process: Submission of an application does not guarantee funding, and each application is reviewed on an individual basis. Parents will be notified, and payments will be sent directly to the camp program following approval. Questions? Contact SEF at 314-394-7030 or email info@sef-stl.org NOTE: You can save your progress on this form and return within 30 days to finish your submission. Just click "Save and Continue Later" to use this feature. ALL APPLICATIONS MUST BE SUBMITTED ONLINE! Click here for a PDF preview of the form questions. Applicant's InformationName of Student* First Last Home Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home Phone*Parent or Guardian's Name* Parent or Guardian's Email* Parent or Guardian's Work/Cell Phone*Parent or Guardian's AddressIf different from that of the applicant. Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Applicant's SSD InformationNumber of members in the household with a disability School* District* Grade Level* Name of SSD Teacher* First Last Teacher's Email* Teacher's Voice Mail* Check your child's diagnosed disability.* Autism Spectrum Hearing Impaired Other Health Impaired Learning Disabled Physically Impaired Vision Impaired Speech/Language Impaired Developmentally Disabled Is your child's ability to communicate impacted by his/her disability?* Yes No Please describe how your child's ability to communicate is impacted.* Camp InformationName of Camp or Program* IMPORTANT: If Campership is awarded, a check will be made payable to the camp name listed above. CHECKS WILL NOT BE REWRITTEN.Camp Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Camp Phone Number*Camp Point Person to Contact (Name) First Last Camp Point Person to Contact (Email) Cost of Camp Tuition Per Week* Length of Camp (Weeks)* Dates Applicant Wishes to Attend* Explain the benefit the camp will have on the applicant.*Statement of financial need*Please be specific and include any special circumstances, debt obligations, or other expenses if applicable.The funding of the Kid-to-Camp program would not be possible without the individuals and organizations in the St. Louis community who contribute to SEF. With that in mind, we would appreciate your follow up feedback for SEF to learn how your child’s camp experience has impacted his/her life, and that of your family. Your responses will be kept confidential and are critical to increasing funding for SEF programs.I acknowledge that I will complete a survey or follow up call/email if I am provided with Kid-to-Camp assistance. Yes ReleasesI am willing to share the experience of the student/family who benefits from the Foundation's assistance and to inform those who might be interested in Foundation programs.* Yes No I give my permission for the Special Education Foundation and media to use my child’s name, photo and biographical information in stories involving the Special Education Foundation. I understand that this information may be used in SEF publications including SEF newsletters, local newspapers, social media, educational websites and news websites for the purpose of instruction or informing students, parents, educators and the general public about the special education foundation, its programs, and its benefits to those served by the Special School District.* Yes No Please upload the following files. All are required.Pages 1 and 2 of Parent or Guardian's Most Recent 1040 Tax Form*Accepted file types: pdf, doc, docx, txt, rtf, Max. file size: 20 MB.Letter of Recommendation from SSD Teacher*Accepted file types: pdf, doc, docx, txt, rtf, Max. file size: 20 MB.Second Letter of Recommendation*Accepted file types: pdf, doc, docx, txt, rtf, Max. file size: 20 MB.By signing, I acknowledge that I, the parent/guardian, have personally submitted this form.*
