SUMMER CAMP SCHOLARSHIP REQUEST FORM

SCHOLARSHIP APPLICATION RECOMMENDATION FORMName of Reference:____________________________________________________________Phone Number: _______________________________________________________________Name of Applicant: ____________________________________________________________What is your relationship to the applicant?___________________________________________Directions: Please comment on the specific ways you believe this applicant will benefit from having theopportunity to take part in summer camp at Cheekwood. If you wish to type your recommendation, be sure it isdouble spaced and no longer than one page.__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Signature__________________DateMail Completed Applications to:CHEEKWOODSummer Camp1200 Forrest Park DriveNashville, TN 37205Or fax to 615-353-98292