ZooALIVE Scholarship Application
Please fill out the following form if you are interested in receiving funds to offset the cost of the ZooALIVE training. Scholarships offered are for 25, 50, or 75% of the program fee depending upon applicant need. -Email Elissa at evelasquez@pueblozoo.org with any questions
ZooAlive Applicant Name
*
First Name
Last Name
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Mobile Number
*
Parent/Guardian Email Address
*
example@example.com
Parent/Guardian Place of Employment
*
Parent/Guardian (#2) Name
First Name
Last Name
Parent/Guardian (#2) Place of employment
Number of Dependents in Household
*
Household Monthly Gross Income
*
Are there any extenuating circumstances, permanent or temporary, that make financial assistance necessary at this time?
*
What do you hope your child will gain from this experience?
*
Additional Comments
Submit
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