Scholarship Application Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

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 within a week after the application deadline 9/9/2022

Parent / Guardian NAME *

Participant NAME *

First & last names

Participant AGE *

Age at start of program

Email *

Phone # *

City you live in: *

Which program(s) you wish to apply for: *

Can you please specify which session you would like to apply for? *

Have you participated in Gaia Passages previously? *

Yes

Please explain why you are applying for a scholarship. *

Are you available in sharing your time and skills in exchange for a scholarship? *

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Gaia Passages.

Does this form look suspicious? Report

Forms