Winter Schminter Scholarship/Aid Inquiry
Thank you so much for your interest in participating in one of our offerings!

The Calibraska Summer Program is like none other and creates very special experiences for the students and it is our mission to take away barriers keeping folks from participating including financial barriers.

We will do everything we can to get you into our classes! We do have to issue Scholarship Aid on a first come basis so we recommend inquiring as soon as you can. To help track our giving, financial aid is determined on a class by class basis.

For our Winter Schminter offerings we have special aid for Scottsbluff residents sponsored by Vistabeam Wireless Internet!

Below are questions we need to get your the aid you need. :)

Looking forward to seeing you at Winter Schminter!

Sign in to Google to save your progress. Learn more
PLEASE WAIT TO SIGN-UP FOR YOUR OFFERING UNTIL YOU HEAR BACK ON THIS FINANCIAL AID INQUIRY. It is best that we give you a code to use at check out then refund existing orders.
Student's Last Name *
Student's First Name *
Student's Age *
Student's City and State *
Class you are seeking aid for
*
Please share the offering date(s) you requesting aid for
 *
Is this a returning student who's participated in offerings with us in the past? *
Parent/Guardian's Name if student is under 18
Contact to use for the Scholarship response
 *
Parent/Guardian / Adult Student's Contact Phone (enter as  000-000-0000 )
Is this student attending a school in the North Platte School District? If yes, please share which school they are currently attending
Does the participant live in Scottsbluff or the surrounding Nebraska Panhandle area?
 *
What level of discount are you requesting for the offering(s)? *
Anything you would like to share about the student applying? (optional)
ACKNOWLEDGEMENTS AND AGREEMENTS
I understand this is an inquiry and not a confirmation of financial aid.
I understand this is an inquiry and not a confirmation of financial aid. *
Today's Date *
MM
/
DD
/
YYYY
DIGITAL SIGNATURE
By my eSignature verification below, I verify that I understand that electronic signatures are legally binding and have the same meaning as handwritten signatures. Pursuant to section 11.100 of Title 21 of the Code of Federal Regulations, this is to certify that I confirm that this electronic signature is to be the legally binding equivalent of my handwritten signature and that the data on this form is accurate to the best of my knowledge.

This Signature confirms and binds you and the student to the terms set forth in this document.
Signature *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Calibraska. Report Abuse
Google Forms