Post on 24-Dec-2021
“We serve and care for those who serve and protect us.”
2015/2016 Board of Trustees
Officers
Nohemy Hite, President, Surviving Spouse of Tucson PD
Officer Erik D. Hite,
Minnette Powell, MHRM, Vice-President
Lead Management Analyst, Tucson PD
Shifali Zimmer, Secretary, Accountant, Leidos
Dorothy Schneider, Treasurer,
Flagstaff Uniform Shop, Business Owner, Retired
Trustees
Lisa Vernon Writer-Newsletter Editor
Dr. Christine Graham-Kreger
Casas Adobes Pediatrics
Katie Ferencik Community Relations Coordinator
Tucson Electric Power
Board of Advisors
Angela Donelson, President, Donelson Consulting LLC
Jimmy J. Lovelace, CPA,
BeachFleischman, PC
David D. West, Attorney, West and Zickerman, P.L.L.C
Sherif Morgan, PhD., Connexins Web Development LLC
David Shepherd, Shepherd Wealth and Retirement
Quinn McCarthy, Capt. (Ret) Tucson Police Department
Judy Buckert,
Micro Publishing Design
Dana Dawson, CFRE DevelopmentPlus Fundraising Counsel
Amanda Place
Community Volunteer
Edmund Marquez Allstate Agency
Asst. Chief Ramon Batista Tucson Police Department
Erik%Hite%Foundation%/%www.ErikHiteFoundation.org%9420%E.%Golf%Links%Road%#265%/%Tucson%AZ%85730%/%T%520.495.0430!
Erik Hite Foundation
Summer Camp Scholarship Application 2016
Welcome to the Erik Hite Foundation Summer Camp Scholarship Program! To all military, first responders, and their families, we extend the invitation to apply for this exciting opportunity. Below, you will find the requirements necessary to complete this application, and the criteria in which selection is based upon.
o The application packet with all required materials must be submitted through the Erik Hite Foundation’s online application system and must be filled out in its entirety.
o The Summer Camp Scholarship Program is intended to reimburse you for registration fees paid for summer camp attendance for your child/children in 2016. Please provide a copy of the paid 2016 summer camp registration. Upon selection for a scholarship award, reimbursement in then paid.
o Attach a copy of proof of employment (Employment ID).
o Provide via email to the Erik Hite Foundation, a photo of your child/children at camp. Attach signed photo release waiver.
o Families sending two or more children, to summer camp in 2016 will be given priority consideration. Qualifying ages for this scholarship are children 5 to 18 years old.
o Scholarship awards are available only to qualified families and applicants must meet all criteria detailed within this application packet.
o Applications will be accepted beginning on May 2, 2016, until May 30, 2016. Award notifications will be made on June 2, 2016.
Please direct any questions to Michelle Cardiel at mcardiel@erikhitefoundation.org . Thank you for your application and have a great summer!
“We serve and care for those who serve and protect us.”
2015/2016 Board of Trustees
Officers
Nohemy Hite, President, Surviving Spouse of Tucson PD
Officer Erik D. Hite,
Minnette Powell, MHRM, Vice-President
Lead Management Analyst, Tucson PD
Shifali Zimmer, Secretary, Accountant, Leidos
Dorothy Schneider, Treasurer,
Flagstaff Uniform Shop, Business Owner, Retired
Trustees
Lisa Vernon Writer-Newsletter Editor
Dr. Christine Graham-Kreger
Casas Adobes Pediatrics
Katie Ferencik Community Relations Coordinator
Tucson Electric Power
Board of Advisors
Angela Donelson, President, Donelson Consulting LLC
Jimmy J. Lovelace, CPA,
BeachFleischman, PC
David D. West, Attorney, West and Zickerman, P.L.L.C
Sherif Morgan, PhD., Connexins Web Development LLC
David Shepherd, Shepherd Wealth and Retirement
Quinn McCarthy, Capt. (Ret) Tucson Police Department
Judy Buckert,
Micro Publishing Design
Dana Dawson, CFRE DevelopmentPlus Fundraising Counsel
Amanda Place
Community Volunteer
Edmund Marquez Allstate Agency
Asst. Chief Ramon Batista Tucson Police Department
Erik%Hite%Foundation%/%www.ErikHiteFoundation.org%9420%E.%Golf%Links%Road%#265%/%Tucson%AZ%85730%/%T%520.495.0430!
I, ___________________________________________________ have read and understand the conditions of the Erik Hite Summer Camp Scholarship as explained on the Foundation’s website/application form. I understand that this scholarship award will be available only to qualified families, and proof of employment is required. I waive the right to access any information on scholarship award recipients as well as other applicants’ information. I affirm the information contained herein is true and accurate to the best of my knowledge and belief. Date __________________ Signature ____________________________________
Tell us about your family
____________________________________________________________________
Guardian(s) First and Last Name(s)
____________________________________________________________________
Address City State Zip
Children Current Age Birthdate
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
Which of your children will be attending summer camp in 2016?
____________________________________________________________________
“We serve and care for those who serve and protect us.”
2015/2016 Board of Trustees
Officers
Nohemy Hite, President, Surviving Spouse of Tucson PD
Officer Erik D. Hite,
Minnette Powell, MHRM, Vice-President
Lead Management Analyst, Tucson PD
Shifali Zimmer, Secretary, Accountant, Leidos
Dorothy Schneider, Treasurer,
Flagstaff Uniform Shop, Business Owner, Retired
Trustees
Lisa Vernon Writer-Newsletter Editor
Dr. Christine Graham-Kreger
Casas Adobes Pediatrics
Katie Ferencik Community Relations Coordinator
Tucson Electric Power
Board of Advisors
Angela Donelson, President, Donelson Consulting LLC
Jimmy J. Lovelace, CPA,
BeachFleischman, PC
David D. West, Attorney, West and Zickerman, P.L.L.C
Sherif Morgan, PhD., Connexins Web Development LLC
David Shepherd, Shepherd Wealth and Retirement
Quinn McCarthy, Capt. (Ret) Tucson Police Department
Judy Buckert,
Micro Publishing Design
Dana Dawson, CFRE DevelopmentPlus Fundraising Counsel
Amanda Place
Community Volunteer
Edmund Marquez Allstate Agency
Asst. Chief Ramon Batista Tucson Police Department
Erik%Hite%Foundation%/%www.ErikHiteFoundation.org%9420%E.%Golf%Links%Road%#265%/%Tucson%AZ%85730%/%T%520.495.0430!
Employer Name
____________________________________________________________________
____________________________________________________________________ Address City State Zip
____________________________________________________________________
Phone (Personal) (Work)
Household Annual Income (Circle One) $25,000 to $44,000 $45,000 to $64,000
$65,000 to $84,000 $85,000+
The Erik Hite Foundation would like to know more about your family. Please give a brief summary of how the Summer Camp Scholarship would benefit your family. Please feel free to include any additional personal information you wish to share. ____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
--------For Foundation Use Only-------- Application Complete Y/N Employment Verified Y/N
Award Status Y/N Award Amount _________________
“We serve and care for those who serve and protect us.”
2015/2016 Board of Trustees
Officers
Nohemy Hite, President, Surviving Spouse of Tucson PD
Officer Erik D. Hite,
Minnette Powell, MHRM, Vice-President
Lead Management Analyst, Tucson PD
Shifali Zimmer, Secretary, Accountant, Leidos
Dorothy Schneider, Treasurer,
Flagstaff Uniform Shop, Business Owner, Retired
Trustees
Lisa Vernon Writer-Newsletter Editor
Dr. Christine Graham-Kreger
Casas Adobes Pediatrics
Katie Ferencik Community Relations Coordinator
Tucson Electric Power
Board of Advisors
Angela Donelson, President, Donelson Consulting LLC
Jimmy J. Lovelace, CPA,
BeachFleischman, PC
David D. West, Attorney, West and Zickerman, P.L.L.C
Sherif Morgan, PhD., Connexins Web Development LLC
David Shepherd, Shepherd Wealth and Retirement
Quinn McCarthy, Capt. (Ret) Tucson Police Department
Judy Buckert,
Micro Publishing Design
Dana Dawson, CFRE DevelopmentPlus Fundraising Counsel
Amanda Place
Community Volunteer
Edmund Marquez Allstate Agency
Asst. Chief Ramon Batista Tucson Police Department
Erik%Hite%Foundation%/%www.ErikHiteFoundation.org%9420%E.%Golf%Links%Road%#265%/%Tucson%AZ%85730%/%T%520.495.0430!
Erik Hite Foundation Summer Camp Scholarship Program 2016
Photo Release Waiver
Authorization and Release
I hereby grant permission to the Erik Hite Foundation Summer Camp Scholarship Program and the board members of the Foundation to use my child's image in print or video media for Foundation purposes. I hereby consent to permit photographs of me and/or those of my minor children to be used by the EHF for the purpose of education and advertisement at qualifying agencies, and in any medium, including print and electronic. I understand that the Foundation may use such photographs with or without associating names thereto. I further waive any claim for compensation of any kind for the Foundation's use or publication of photographs of me and/or those of my minor child/children. ____ YES: for all Erik Hite Foundation purposes ____ NO: for no purposes I acknowledge and represent that I am over the age of 18, have read this entire document, that I understand its terms and provisions, and that I have signed it knowingly and voluntary on behalf of myself and/or my minor children. Signature Print Name Date Print name(s) of minor child(ren) Print name(s) of minor child(ren)