Bird Conservancy of the Rockies - Scholarship Form (2021)
Please complete this form to request scholarship funds for your program with Bird Conservancy of the Rockies. This form contains multiple pages - be sure to click 'submit' at the end!

If you have any questions, please don't hesitate to reach out to Kelsey Mazur, Outreach & Volunteer Coordinator, at kelsey.mazur@birdconservancy.org or 303-659-4348 x10.

Thank you!
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Contact Name
Contact Email
Contact Phone Number
School Name
School Address
School District
School County
Program that you are seeking funding assistance for (date and program title, as applicable)
Grade level
Number of Students Participating in Program
What percentage of your student population qualifies for the Free and Reduced Lunch Program?
What percentage of PROGRAM FEES are you asking to be funded?
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Will you be requesting scholarship funds for TRANSPORTATION COSTS?
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