The Rusty Anvil Immersion Scholarship Application
Use this form to apply for payment plans and scholarships. Scholarships for 2023 are limited. Please provide as much detail as possible. If you are applying for a work trade please 
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Email *
Date of application *
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phone number *
Name *
Age
Pronouns
Name & date of immersion you are applying for *
What kind of support are you applying for? *
What is the cost of the ticket you are applying for? (ex. sliding scale $275) *
Support amount requested (scholarships available up to 20%. If you are requesting a scholarship larger than 20% please note that below and how much. *
If you are requesting a payment plan please indicate your preferred payment amount and your ideal payment breakdown (monthly, bi weekly, etc). *
Current Employment Status *
Estimated Monthly Income *
Estimated Monthly Expenses *
Are you able to meet your expenses monthly? *
Has your ability to work been effected by COVID-19? If so, please explain below. *
how will this scholarship support you at this time? *
If requesting a full scholarship support, are you able to reciprocate back to the organization in some way? (support unloading gear, meal prep, cleaning up, putting away gear)? Please note if there is other work trade support you can offer to the admin team (promotions, networking, access to funding sources, etc)
What is calling you to attend this immersion? *
Is there anything else you would like to add? *
A copy of your responses will be emailed to the address you provided.
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