Culture Camp Scholarship Form Name * First Name Last Name Email * Phone number * Address * Social Media Handles http:// Describe yourself (age, ancestry, occupation) * Which Nation do you live on? * Which Scholarship are you applying for? Indigenous Person Cyclone/ Flood Affected Person What is your connection to your Indigenous Community? * If you are applying for our Indigenous Scholarship please tell us who your Mob are/who claims you? How long have you identified for? * If you are applying for our Flood/ Cyclone Affected scholarship, please tell us how you were impacted?* * This also includes those who volunteered, led community initiatives, donated time or resources to rebuilding communities, lost their employment etc Will your children be attending? If yes, please provide their names and ages *Please note children cannot attend Plan C Camps (babies in arms are welcome) Please tell us about your household yearly income * Below $50,000 $50,000- $90,000 Above $100,000 Accommodation option * Shared Bunk Room Camping (BYO gear) Which camp are you applying for? * April 28th- May 2nd 2025 BUNDJALUNG LANGUAGE CAMP (Mob Only) August 11th- 15th 2025 PLAN C X THE RETURNING (Adults Only) September 1st-5th 2025 JUGAN ALLIANCE X THE RETURNING (Families Welcome) October 13th-17th 2025 PLAN C X THE RETURNING (Adults Only) December 1st- 5th 2025 CULTURE CAMP (Families Welcome) We require a $75 refundable deposit to secure your spot, are you able to afford this Yes No Thank you!