• Financial Assistance Application

    If you have any questions, contact NPRD @ director@norwoodparkandrec.org or 970-327-1048.

  • Confidentiality:

    The District will keep all application materials confidential and will not share the application materials with other individuals, organizations or agencies without your express approval. Only District staff who review and approve scholarship applications will have access to the submitted materials.
  • Are you filling out this application for someone else?*

  • Adult/Primary Guardian Information

  • Date of Birth*
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Household Assistance Received (check all that apply)*

  • Adult/Secondary Guardian

  • Do you need to enter information for a secondary adult/guardian?*
  • Date of Birth

  • You must provide documentation in order to determine eligibility.

    You may do this by submitting one of the following:
  • 1) Current eligibility/award letter for SNAP, CCCAP, WIC, Free Meals 2) Copy of most recent Federal 1040 income tax returns, OR 3) If you are unable to provide either of the these, you may submit other documentation of income (SSA/SSI Benefit Statements, or last 3 months of paycheck stubs, etc.)

  • Please list all dependent children age 18 and under.

  • I certify that the above information is true and correct and that all household income is reported.

    I will notify Bend Park and Recreation District of any changes in income or family size. I represent that I am a resident of the City of Bend or the surrounding area. I understand that providing false or incomplete information to the District will immediately lose their financial assistance.
  • Signature of Applicant*
  • Format: (000) 000-0000.
  • Should be Empty: