JUNE 17-21, 2024

Holiday Lake 4-H Educational Center, Appomattox, VA

Camp Woods & Wildlife is an academic, structured, residential camp that focuses on field experiences in forestry and other natural resources. Camp is open to Virginia residents ages 13 to 16 with an interest in natural resources, who have not attended before.

Application to camp is a two-step process. To apply:

The student must complete sections 1-3.

A nominator not related to the student must complete section 4 and submit the form by mail, email, or fax by April 26.

Incomplete applications will not be accepted.

Applications will be reviewed as they are received, and students will be notified of acceptance. All students accepted to camp will receive a substantial scholarship and pay only $95 to attend.

SECTION 1 – Student Information
Name:	Grade:
Last Name	First Name	M.I.
Address:
Mailing Address	City	State	Zip Code
Email:	Date of Birth:
MM/DD/YYYY
SECTION 2 – Parent Information
Name:
Preferred Phone No.: Preferred Phone No.:	Email:
SECTION 3 – Student Interest
Why are you interested in attending Camp Woods & Wildlife?
Will your school schedule allow you to attend June 17-21, 2024?	Yes	No
Are your parents aware and supportive of your nomination?	Yes	No
Ask your nominator to complete the next page and submit the application. Incomplete applications will not be accepted.

SECTION 4 – Nomination Information (to be completed by the Nominator)
NOMINATION SUPPORT:
Abilities:	Attitude toward Learning:	Poor	Fair	Good	Excellent
Interest in Natural Resources:	Poor	Fair	Good	Excellent
Ability to Work with Others:	Poor	Fair	Good	Excellent
Activities:	4-H	FFA	Scouting	Envirothon	Ecology/Biology Club
Other Outdoor/Nature-Related:
Reason for Nomination:
Is there anything else we need to know to help ensure the student’s success at camp? (e.g., learning disability, English as a second language, behavioral or attention issue)
NOMINATED BY:	Name:	Title:
School or Affiliation:	Phone No.:
Address:
Mailing Address	City	State	Zip Code
Email:
Nominators should submit this form upon completion.
Submit Nominations by April 26, 2024: Email: ellen.powell@dof.virginia.gov Fax: (434) 296-2369 Mail: Virginia Dept. of Forestry, Attn: Ellen Powell, 900 Natural Resources Dr., Suite 800, Charlottesville, VA 22903
Camp Woods & Wildlife programs are open to all people regardless of race, color, religion, sex, national origin or disability. EEO\AA