Scholarship Application Form (Old Version)

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Please complete this form if you need to apply for a scholarship beyond the options listed in our online registration. We prioritize scholarships for identities who systemically have had less access to nature. This includes BIPOC (Black, Indigenous, People of Color) and LGBTQIA+ participants. All applicants must have a financial need to be approved.

We have a limited amount of scholarships, but we hope to be able to serve everyone who needs and we will do our best to meet your request or meet you in the middle. Once you submit this application form, we will be in touch shortly.

THIS IS OUR OLD APPLICATION. Please fill out our New Application to be considered for Scholarships for Fall programs this year: https://forms.gle/YKDzhLDY6cAX8s7P9

Parent / Guardian NAME *

Participant NAME *

First & last names

Participant AGE *

Age at start of program

Participant GRADE *

Grade participant will enter in fall

Participant GENDER IDENTITY *

RACIAL / ETHNIC identity *

Please check all that apply

American Indian or Alaska Native

Asian

Native Hawaiian or Pacific Islander

Black/African American

Hispanic or Latino

Arab or Middle Eastern

White or Caucasian

Other:

Required

Email *

Phone # *

City you live in: *

Name of program(s) you wish to apply for: *

Have you participated in Gaia Passages previously? *

Yes

Have you received financial support from Gaia Passages previously? *

Yes

How much are you able to afford to pay for this program? *

Consider the monthly payment plan (pay in small chunks on the 5th of each month)

Please explain WHY you are applying for a scholarship. *

Would you be interested in sharing your time and skills in exchange for a scholarship? *

Submit

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