2024 Scholarship Request Form (Youth)

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Opal Creek Ancient Forest Center invites you to request scholarship placement in our summer Youth Expeditions program!

Please do your best to answer the questions below, so we can learn a bit about your family and your child's experience.

The Scholarship Request Form has 3 sections:
Section I – Contact Information
Section II – Financial Barriers Questionnaire
Section III – Camper Interest Questionnaire & Expedition Preferences

Email *

Parent/Caregiver Full Name *

Section 1 - Contact Information

Parent/Caregiver Mailing Address *

Parent/Caregiver Phone Number *

We primarily will communicate with you through email and phone. Do you have another preference? *

Youth Name *

Youth Age (at the start of summer June 2024) *

How did you hear about us? *

Section II – Financial Barriers Questionnaire

Opal Creek Ancient Forest Center offers scholarships to a wide range of youth who otherwise may not attend an expedition due to barriers such as finances, race and ethnicity, sexuality and gender, and disability. Please answer honestly and to the best of your knowledge.

This information is kept private. We will not use it for any purpose beyond consideration for placement in our Youth Expeditions program. We will not sell, lease, or release individual information to third-party organizations or businesses.

Does your family own your home or property? *

Yes

Other:

Did/do most of your family attend private educational institutions or have advanced degrees?
*

Yes

Other:

Does your family have private healthcare? *

Yes

Other:

Does your family have disposable income?
*

Yes

Other:

Does your family have U.S Citizenship?
*

Yes

Other:

Does your family’s income support only immediate family, not other loved ones?
*

Yes

Other:

Have you or does your family expect to inherit property or money?
*

Yes

Other:

At Opal Creek Expeditions we may be able to offer 15% to 100% of scholarship funding: what is your current need?

Has your family received a scholarship with us in the past? (This will not affect your chance at receiving aid)

Yes

Other:

Clear selection

(OPTIONAL) Please select any of the following communities you or your child identifies with:

BIPOC: Black, Indigenous, People of Color

LGBTQIA+: Lesbian, Gay, Bisexual, Transgender, Queer, Intersex, Asexual +

People with disabilities (physical and/or intellectual)

Financial Barriers & Demographic Survey Summary

Based on your answers to the previous questions, we will reach out with a funding offer. We receive scholarship funding requests on a first come first serve basis until scholarship slots are full.

Section III – Camper Interest Questionnaire & Expedition Preferences

At Opal Creek Ancient Forest Center, we prioritize placement into our scholarship program to youth who are eager, enthusiastic, and interested in participating. Please ask your child to fill out the questions below.

CAMPER: Tell us what it feels like when you're outside in nature: *

CAMPER: Have you been on an expedition with us before? If so, what do you remember best? *

CAMPER: Does anything about the expedition feel like it could be challenging? What might be a challenge you could face on the trip? *

ALL: Do you have an expedition preference? Please view our calendar. *

CAREGIVER: Anything accommodations or important information to know when placing your camper in an expedition?

Thank you so much for your interest and time! We will within two weeks of submitting an application.

In the meantime if you have any questions or concerns, please feel free to contact expeditions@opalcreek.org. Thanks!

A copy of your responses will be emailed to the address you provided.

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