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Natural Leaders Financial Assistance Request Form
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* Indicates required question
Email
*
Your email
Parent Name (First & Last)
*
Your answer
Phone
*
Your answer
Student(s) Name(s) & Age(s)
Please do not forget to include age!
*
Your answer
Option 1
Clear selection
Which NL Programming are you seeking assistance for?
*
Homeschool Program
Summer Programs
Overnight Program
Other:
Which NL Program location are you hoping to enroll in?
*
Choose
Bethesda, MD
Bowie, MD
Crownsville, MD
Gaithersburg, MD
Centreville, VA
Clifton, VA
Falls Church, VA
Fredericksburg, VA
Lorton, VA
Reston, VA
Springfield, VA
Stafford, VA
Other
Flexibility in schedule & location could potentially increase the likelihood of granting assistance. Please indicate any other locations or schedules (days of the week) you would be available to attend:
Your answer
Have you participated in Natural Leaders Programs before?
Yes, we have participated in the Homeschool Program before
Yes, we have participated in the Summer Program
No, this would be our first time in Natural Leaders Programming
Other:
Clear selection
I have read and understand the pricing structure, discounts available, and registration terms for the programs I am seeking assistance for (available on the Natural Leaders website).
*
Yes
No
Please briefly describe the nature of the circumstances which impact your family's need for financial assistance. Any information provided here is held as confidential and will not be shared beyond the Natural Leaders administrative team.
Your answer
Please indicate the percentage of program costs your family is able to cover (i.e. 75%, 10%):
*
Your answer
Are you interested in or available for a work-trade agreement? Some families have contributed time as volunteers for programs out in the field or provided marketing assistance via social media for example.
Yes
No
Maybe
Other:
Clear selection
If yes to a work-trade agreement, please list any pertinent skills you might be able to contribute to NL programming or administration:
Your answer
If yes to a work-trade agreement, please outline time/place/schedule of your ability to work.
Your answer
Any additional relevant information to your request:
Your answer
Send me a copy of my responses.
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