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The 2021 Dr. Blanca Vazquez Summer Camp Scholarship Application

EVERY CHILD DESERVES TO HAVE A GOOD SUMMER!

Thank you for your interest in the 2021 Dr. Blanca Vazquez Summer Camp Scholarship Program!

Your application will be carefully reviewed by the FACES Summer Camp Scholarship Team for consideration. Please contact Brielle Cummings at facesscholarship@nyulangone.org with any questions or concerns. Your message will be returned within 48 hours of submission.

Summer camp can be a wonderful experience for children with epilepsy. Our Summer Camp Scholarship Program serves children with epilepsy in financial need and allows them to enjoy fun, confidence-building experiences.

We will provide funding for a portion of your selected summer program depending on the camp’s tuition.
The amount of scholarship awarded is based on the length and cost of the program as well as eligibility. 
Applicants must be between the ages of 3-21 years old to be considered

CERTAIN EXCEPTIONS MAY APPLY. TO INQUIRE PLEASE CONTACT: facesscholarship@nyulangone.org

The deadline to apply is May 31, 2021

The FACES team will contact you with a decision on JUNE 28, 2021

WE WILL NOT ADVISE OUR DECISION PRIOR TO THIS DATE

In order to be considered, a full application must be completed.  This includes:

  1. A full application with all sections completed
  2. Summer camp selection
  3. One personal statement and photo of your child; must be filled out by a parent or guardian
  4. One letter of recommendation from a certified medical practitioner involved in your child's medical care. Letter of recommendation must state child has epilepsy or experiences seizures

Best Wishes for a Happy and Healthy Summer!

Applicant Information:

Camp Information (ALL of these fields should be required):

**PLEASE NOTE CAMP SELECTION CAN NOT BE CHANGED AFTER SUBMISSION OF APPLICATION. CAMP MAY BE ASKED TO PROVIDE TAX INFORMATION**

Financial Information (ALL of these fields should be required):

If you answered yes to any of the above, supporting documentation may be requested.

Personal Statement and Photograph:

Please provide a written statement as to why your child and your family will benefit from summer camp this year in regards to their epilepsy diagnosis. Please also include a photo of your child. THIS SECTION MUST BE FILLED OUT BY A PARENT OR LEGAL GUARDIAN. 500 words maximum.

Medical Letter of Recommendation (ALL of these fields should be required):

Please have a certified practitioner who is involved in your child’s medical care (e.g. physician, nurse practitioner, physician assistant, nurse, social worker, etc.) write a letter of recommendation indicating why this scholarship will be helpful for your child in regards to their epilepsy diagnosis. Letter of recommendation MUST state that the child has epilepsy or experiences seizures.

I certify that the above information is true.