2010 Student Opportunity Application Kansas Next Step     Name:                                                                                                                                     Street Address:                                                                                                                     City:                                         State:                                      Zip Code:                              Home Phone Number:                                                          Cell:                                       Email:                                                                                                    Parent/Guardian Name:                                                                                                       Parent/Guardian Name:                                                                                                       School:                                                                                  Grade:                                  GPA:                     School Street Address:                                                                                                        School City:                                                    School Phone: ­­­­­­­­­                     ­­­­­­            _____ Teacher Reference (1):                                                         Phone:                                   Teacher Reference (2):                                                         Phone:                                     Must also include a reference letter from each teacher    Name of Opportunity:                                                                                          Website:                                                                                                                     Does the camp/school provide scholarships? �  Yes �  No             Fee:  $_______ + Other Expenses $_______ - Student /family contribution $ ______ - Scholarship $ ______ = Amount Requested from KNS $ ________   Please provide a short essay for each summer camp opportunity stating why you wish to attend and your previous experience or interest in the area of study.   Additional Agreements: For each $250 awarded, KNS requests the applicant or someone related (parents or friends) volunteer two hours of community service at KNS in order to help others.  If financial aide or scholarships are available through the camp, the applicant must apply for them.  Please turn in a copy to KNS immediately after doing this.    Applicant Signature:                                                                          Date:                            Looking for interesting camps? Check out www.kansasnextstep.org for ideas!