Frank Barker Memorial Fund Scholarship - Habitat for Humanity of Jacksonville, Inc (HabiJax)

Frank Barker Memorial Fund Scholarship Application

The Frank Barker Memorial Fund was established to honor the legacy of Mr. Barker, a former Executive Director at HabiJax who passed away in 2002. The fund supports camp scholarships for HabiJax homeowner’s children each summer. Full or partial scholarships may be awarded depending on availability of funds, number of applicants, and total amount of funds requested.

Please complete the form below. Application period will close June 4, 2021.

Contact Name
First Last
Phone
Email
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Child's Name
First Last
Child's Age
Date of Birth - must be mm/dd/yyyy format
MM slash DD slash YYYY
Name of Camp
Camp Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Type of Camp (music, dance, sport)
Total Cost of Camp

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