SJMA Scholarship Application
PLEASE NOTE: this survey is designed for a single child.  If you wish to send multiple children to our programs, please fill out evaluations for each of them. We typically review applications once a week. Please allow at least 5-10 business days for us to contact you in regards to your application.

We believe outdoor education should be available for all children. We award need-based sliding scale scholarships dependent on household income. However, we understand that some families may have financial difficulties that are not reflected here. If you feel you will not qualify for a scholarship but would be unable to participate otherwise, please reach out to Adriana Stimax at astimax@sjma.org to discuss.

IF YOU ARE AWARDED a scholarship, that does not guarantee a spot in your selected program. Our programs often fill very fast and we have no way to reserve a specific spot for you. Thus we recommend registering as soon as you get an email awarding your scholarship. We are happy to coordinate payment at a reasonable later date from registration if needed.
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Parent/Guardian name *
Best Email AND Phone number to reach you *
Child name and age *
Which program does your child wish to attend? For information on these programs visit SJMA.org/learn *
Required
What sessions (name and date) does your child want to attend? *
In the space below, please provide a description of why your child would like to attend this program. If appropriate, have the student participate in writing this section. *
Will you (or your child) provide a thank you for their program sponsorship?
Clear selection
Will this be your child's first SJMA experience? *
If no, how many years has your child attended SJMA/DNS programs?
Clear selection
How many members are in your household? (including children)
What is your combined annual household income?
Do you qualify for CCCAP?  *
What percent of the cost of the program is affordable for you? (For example, if the program costs $100 and you can afford $25 then select 25%) *
Please explain how your family will benefit from this scholarship. 
How did you hear about SJMA/DNS kids programming?
Clear selection
Are you a member of San Juan Mountains Association?
Clear selection
How do you describe your child's race and/or ethnicity? Select all that apply. (This question helps us understand which communities we don't have strong relationships with)
Anything else you'd like to share with us?
If you would like someone from SJMA to follow up with you, please provide contact information:
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