The Kansas City Zoo awards scholarships to families and individuals based on their financial need and available space. Below are the guidelines:

The Kansas City Zoo awards scholarships to families and individuals based on their financial need and available space. Below are the guidelines: Scholarships are available for children between the ages of 4 and 15. Multiple scholarships may be awarded per person. If applying for multiple individuals, each person must have a separate application. Applications must be submitted or postmarked by Friday, March 16, 2018 to be considered. NO EXCEPTIONS! All scholarships will subsidize 90% of the program fee; awardees will be required to pay the remaining 10%. This percentage is based off of the Non-FOTZ member program pricing. All applicants will be notified via email of their status by about April 6, 2018. Please do not email or phone about your status of your application. Scholarships are awarded based on your level of financial need and available space. Please send: Documentation of eligibility/participation in free and reduced lunch program from your school or administrator If do you not have this item, we still encourage you to apply! Scholarships are available for the following programs on weekdays from May 29 th through August 10 th : Summer Break Half Day Camp (8:30am-11:30am) ages 4 to 5 The Kansas City Zoo will provide a snack and one T-shirt for this program. If your child has special dietary needs, we highly suggest you pack a snack. Summer Break Full Day Camp (8:30am-3:30am) ages 5 to 12 The Kansas City Zoo will provide two snacks, daily lunch and one T-shirt for this program. If your child has special dietary needs, we highly suggest you pack snacks and a lunch. Summer Break Junior Zoologist Day Camp (8:30am-3:30pm) ages 13 to 15 The Kansas City Zoo provides two snacks, daily lunch and one T-shirt for this program. If your child has special dietary needs, we highly suggest you pack snacks and a lunch. Act like an Animal Camps through Starlight Theatre are not eligible for Kansas City Zoo s Program Scholarships Please return this completed application along with your supporting document of eligibility/participation form of free and reduced lunch program from your school or administrator to: Kansas City Zoo, Attn: Natali Rodgers, 6800 Zoo Drive, Kansas City, MO 64132 by Friday, March 16, 2018. You can also email the information to natalirodgers@fotzkc.org or fax it to 816.595.1799. 1

PART 1: SCHOLARSHIP APPLICATION FORM All of the following information must be completed or your application will not be reviewed. APPLICANT INFORMATION First Name Last Name Birthdate Age Parent/Guardian Name Street Address Apt/Unit # City State Zip Code Home Phone Cell Phone Email Address The Kansas City Zoo offers different types of summer programming on weekdays from May 29 th through August 10 th. Click the following link to determine available camp weeks and dates that interest you: Summer Break Camps (Ages 4 to 15): https://www.kansascityzoo.org/education/zoofari-adventures/ Space availability is limited. If offered the scholarship, your top three choices are not guaranteed and alternative dates will be provided. Please list top 3 camp choices and dates that interest you: First Choice Second Choice Third Choice PROGRAM TITLE (check the program you are interested in) Half Day Summer Camp (4-5 yr olds) Full Day Summer Camp (5-12 yr olds) Jr Zoologist (13-15 yr olds) Half Day Summer Camp (4-5 yr olds) Full Day Summer Camp (5-12 yr olds) Jr Zoologist (13-15 yr olds) Half Day Summer Camp (4-5 yr olds) Full Day Summer Camp (5-12 yr olds) Jr Zoologist (13-15 yr olds) CAMP DATES If space and funding is available, are you interested in being selected for multiple camp weeks? Yes or No 2

PART 2: STATEMENT OF INTEREST IN PROGRAM This section is to be answered by the potential scholarship recipient with assistance from parent or guardian if necessary. Why would you like to participate in summer programming at the Kansas City Zoo? 3

PART 3: LETTER OF REQUEST This section is to be filled out by parent or guardian applying for the scholarship. Please explain why you are seeking financial assistance. Include any special circumstances, such as high medical bills or unemployment, and any other pertinent information. This information will be kept confidential. 4

NOTE: Demonstration of financial need is a requirement for qualification for the Kansas City Zoo Education Scholarship. We ask that you provide documentation of participation in free and reduced lunch program. If you do not have this documentation, please make sure to list in Part 3 your financial reasons for applying for a scholarship. I certify that my answers are true and complete to the best of my knowledge. I understand that failure to truthfully set forth this information could result in loss of the Kansas City Zoo Education Scholarship. I have attached documentation of participation in a federal free or reduced lunch program as proof of financial information or I have listed in Part 3 of this application my financial reasons for applying for a scholarship. I understand that demonstration of financial need is a requirement for qualification for the Kansas City Zoo Education Scholarship. I understand that all information is kept strictly confidential and has been requested for the sole purpose of establishing financial need. All scholarships are awarded on a need-basis and based on funding and space availability. I commit to providing transportation to and from the program and assure my child attends all program sessions barring emergencies or illnesses. Signature of Parent/Guardian Date: Application Form Letter of Request Statement of Interest Documentation of participation in free or reduced lunch program DATE RECEIVED: APPROVED BY: DISCOUNT CODE: 5