Merit Award Application

I am applying for: (please check one)*

GOAL (Get Out And Lead)
PYLC (Philadelphia Youth Leadership Corps)
NJYLC (New Jersey Youth Leadership)

Applicant Information

1. APPLICANT INFORMATION

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Email

Gender*

Female
Male
Transgender
Other

Height*

Weight (in pounds)*

Date of Birth*

MM/DD/YYYY

Age in June*

Name of School*

Grade in September*

Parent / Caregiver (1)

Name*

First Last

Phone (Daytime)*

Phone (Evening)*

Email*

Address: Same as Participant?*

Yes
No

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Parent / Caregiver (2)

Add another Parent / Caregiver?

Yes
No

Name*

First Last

Phone (Daytime)*

Phone (Evening)*

Email*

Address: Same as Participant?*

Yes
No

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

2. PERSONAL INTENT ESSAY

Please upload a one-page (500 word) essay indicating why you should be considered for this merit award.

Topic: How have you demonstrated, or struggled with, compassion, integrity, excellence, and/or inclusion & diversity?

3. LETTERS OF RECOMMENDATION

Two letters (250-500 words each) of recommendation from non-family members. Each letter should provide information about your background, leadership skills, and potential areas for growth. Letters may be emailed to [email protected] or sent to our office by the person writing them and must include the applicant's name and merit award in the subject line. Be sure these arrive by the due date.

Letters of reference from non-family members (1 of 2)

Letters of reference from non-family members (2 of 2)

4. APPLICATION FEE

A check for $100 made payable to Philadelphia Outward Bound School. Checks will only be deposited if you are accepted. Include the applicant's name and course title in the memo line.

Please have checks and letters of recommendation sent to:

Jennifer Raymond | Philadelphia Outward Bound School | 3401 Reservoir Drive | Philadelphia, PA 19121

5. INTERVIEW & SELECTION

After your information is received, our Merit Award Selection Committee will review your materials and invite you to an interview session. Decisions will be made and selected students will be informed in early April.

Those selected will receive a Welcome Packet via email (or mail if necessary) from our Student Services Coordinator containing course documents including medical and liability forms, packing list, and FAQs.

We look forward to guiding you in your challenge to go Outward Bound.

The cost of a summer expedition can range from $1,000 - $3,674 depending on length and type. The merit based scholarship fund for these courses covers the cost of transportation, food, two highly-trained Outward Bound instructors per crew, gear and equipment, and the priceless experience of an Outward Bound backpack, rock climbing and canoe course.

As it is the aim of Outward Bound that applicants from all economic backgrounds are eligible to apply for and receive the merit scholarship, we ask each applicant’s family to fill out the information below, specifying their ability to contribute the application fee for their course.

INSTRUCTIONS: Complete the form below in order to process your application. If you are selected for a face-to-face interview, please indicate a credit card number and the amount to be charged below OR bring a check for the amount specified below with you to the interview. Checks from applicants who are interviewed but who are not accepted into the program will be returned. Credit cards will not be charged unless the applicant is accepted into the program.

*All applicants are considered on the basis of merit, not on their financial ability to cover their application cost.

Amount family is able to pay (please select one):*

$1,000
$1,675
$3,674
Other amount (please specify below)

Amount you can pay*

Applicant Information

Parent / Caregiver (1)

Parent / Caregiver (2)

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