ZooALIVE Scholarship Application 2021

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Please fill out the following form if you are interested in receiving funds to offset the cost of the ZooALIVE training. Scholarships offered are for 25, 50, or 75% of the program fee depending upon applicant need.

ZooALIVE applicant name (first and last) *

Parent/guardian name (first and last) *

Best contact phone number *

Parent or guardian email address *

Mailing address *

Place of employment *

Parent/guardian name #2 (first and last)

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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