Black&Wild scholarship application
Use this form to apply for payment plans and scholarships. Scholarships are limited. Please provide as much detail as possible and allow for up to 4 weeks for processing time. Applying well before your program of choice is ideal to ensure you can get support. 

I am also very open to discussing alternative forms of exchange for those who cannot afford to pay. This could look like support with food purchasing for the trip vs paying a registration fee in addition to support with meal packing for the trip and post trip cleanup. 

 I can always use support here on the land, in the garden, with building or repair projects, and even admin tasks for Black&Wild. all of these things are helpful for me and are very valuable forms of non monetary exchange.
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Email *
Date of application *
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phone number *
Name *
Age
Pronouns
Name & date of immersion you are applying for *
What kind of support are you applying for? *
What is the cost of the ticket you are applying for? (ex. sliding scale $350) *
Support amount requested (ex.  *
If you are requesting a payment plan please indicate your preferred payment amount and your ideal payment breakdown (monthly, bi weekly, etc). *
Current Employment Status *
Estimated Monthly Income *
Estimated Monthly Expenses *
Are you able to meet your expenses monthly? *
Has your ability to work been effected by COVID-19? If so, please explain below. *
how will this scholarship support you at this time? *
What kind of exchange/trade are you interested in? *
Required
What is calling you to attend this immersion? *
Is there anything else you would like to add? *
A copy of your responses will be emailed to the address you provided.
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