Youth's Name Youth's First Name Last Name Parent's Name Parent's First Name Parent's Last Name Contact Email Daytime Phone Youth's Gender Female Male Home Address Address City/Town State/Province - None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWashington DCWest VirginiaWisconsinWyoming ZIP/Postal Code Select a camp Future Healthcare Professionals Academy (for high school students) June 29—July 1, 9:00 a.m.–4:00 p.m. Junior Engineers (for grades 3–5) June 8–12, 9:00 a.m.–noon Podcasting (ages 12–17) June 9–10, 10:00 a.m.–3:00 p.m. Senior Engineers (for grades 6–8) July 20–24, 9:00 a.m.–noon Sense-ational Endeavors 1 (Ages 4–8) July 13–24 9:30 a.m.–noon Sense-ational Endeavors 2 (Ages 9–15) July 13–24 1:00–3:30 p.m. VAST Summer Art Studio (Rising High School Sophomores, Juniors, and Seniors) July 13–17, 9:00 a.m.–4:00 p.m. Household Information Number of adults in the home Number of children in the home Are you currently employed? Yes No Hours employed per week Are other adults in the home employed? Yes No Select any of the situations below that apply to your family: Free School Lunches Reduced School Lunches Medical Assistance Other… Enter other… Please indicate yearly family income below: $1,000-$25,000 $24,001-$50,000 $50,001-$75,000 $75,001-$100,000 Above $100,000 Other… Enter other… Penn State Altoona offers sincere thanks to Investment Savings Bank and local donors who make these scholarships possible. CAPTCHA Submit