2024 Scholarship Request Form (Adult)

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

Please do your best to answer the questions below, so we can learn a bit about your experience.

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

Email *

Section I – Contact Information

Full Name *

Birthdate (must be over 18) *

YYYY

Mailing Address *

Phone Number *

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

How did you hear about us? *

Section II – Financial Barriers Questionnaire

Opal Creek Ancient Forest Center offers scholarships to a wide range of people 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 Expeditions program. We will not sell, lease, or release individual information to third-party organizations or businesses.

Do you own your home or property? *

Yes

Other:

Did/do you attend private educational institutions or have advanced degrees?
*

Yes

Other:

Do you family have private healthcare? *

Yes

Other:

Do you have disposable income?
*

Yes

Other:

Do you have U.S Citizenship?
*

Yes

Other:

Does your income support only you, not other loved ones?
*

Yes

Other:

Do you expect to inherit property or money?
*

Yes

Other:

At Opal Creek Expeditions we may be able to offer 25% to 100% of scholarship funding: what is your current need?

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

Yes

Other:

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(OPTIONAL) Please select any of the following communities you identify 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 – Interest Questionnaire & Expedition Preferences

At Opal Creek Ancient Forest Center, we prioritize placement into our scholarship program to those who are eager, enthusiastic, and interested in participating.

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

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

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

Anything accommodations you may need on your Expedition?

Thank you so much for your interest and time! We will reach out shortly.

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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