Zoo ALIVE 2019 Scholarship Application

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Please fill out the following form if you are interested in receiving funds to offset the cost of the Zoo ALIVE training camp fee. This application is due TUESDAY MAY 28, 2019. You will be notified of your application's status by May 31st. Payment for Zoo ALIVE training camp is due Friday, June 7, 2019.

Zoo ALIVE participant name (first and last) *

Parent or guardian email address *

Mailing address *

Best contact phone number *

Parent/guardian name *

Place of employment *

Parent/guardian name *

Place of employment *

Number of dependents living in household *

Household monthly gross income *

Are there any extenuating circumstances, permanent or temporary, that make financial assistance necessary at this time? *

What do you hope your child will gain from this experience? *

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