2024 WILD TENDERS AFTERSCHOOL APPLICATION

WILD TENDERS AFTERSCHOOL

2024-25
Thanks for taking the time to fill out these forms! Part A asks about contact and program information. Part B asks some short answer questions so we can get to know your child and your family a bit better. If you have any questions, please contact youthprograms@weavingearth.org.

NOTE: If you already applied for a Wild Tenders daylong program this year, you DO NOT need to fill out this application. Let us know you'd like to apply for Afterschool by sending us an email at youthprograms@weavingearth.org and we will take care of the rest.
PART A

Contact and Program Information
I. CONTACT INFORMATION
Your Name*

First Last
PARENT FULL NAME
Pronouns
E-mail*
Phone Number*
How did you find out about this program?*
Please explain:*
II. WHO ARE YOU APPLYING FOR?

REMINDER: IF you are applying for multiple children, we need a separate application for each child.
Child's Name*

First NameLast Name
CHILD FULL NAME
Child's Date of Birth*

MonthDayYear
AGE
Child's Gender Identity
Child's Pronouns
What school is your child currently enrolled in?*
III. PROGRAM INFORMATION

REMINDER THAT WILD TENDERS AFTERSCHOOL THURSDAY PROGRAM RUNS FROM 1-5 PM
This program meets at Ragle Ranch Regional Park in Sebastopol. Will you be able to drive your child to the Wild Tenders Afterschool Program or do you need transportation?*

I can driveI can drive and offer a carpoolI need transportation
Please select the age range that your child will be in as of September 2024.*

6 - 89 - 14
COHORT
What are you applying for?*

Semester ASemester BBoth Semesters
Are you able to pay the sliding scale amount for this program? (Between $925 - $1100)*

YesNo
Are you able to pay the sliding scale amount for this program? (Between $1275 - $1525)*

YesNo
Are you able to pay the sliding scale amount for this program? (Between $2200 - $2625)*

YesNo
What amount on the sliding are you able to pay?*
Between $925* - $1100. *The lower end of the sliding scale is less than the annual cost per child needed to meet our organizational expenses, which include staff pay and benefits, program site rent, materials, and insurance.
What amount on the sliding are you able to pay?*
Between $1275* - $1525. *The lower end of the sliding scale is less than the annual cost per child needed to meet our organizational expenses, which include staff pay and benefits, program site rent, materials, and insurance.
What amount on the sliding are you able to pay?*
Between $2200* - $2625. *The lower end of the sliding scale is less than the annual cost per child needed to meet our organizational expenses, which include staff pay and benefits, program site rent, materials, and insurance.
How much could you pay for this program?*
Between $0 - $924
How much could you pay for this program?*
Between $0 - $1274
How much could you pay for this program?*
Between $0 - $2199
How do you want to pay for this program?*

One-time paymentThree installmentsMonthly
Would you like to apply for Financial Assistance?*

YesNo
IV. SCHOLARSHIP INFORMATION

If you are applying for multiple children, you only need to fill this out once
What is your household size? (please include all individuals you are primarily financially responsible for, even if they do not live at your physical residence)
Please describe your financial situation in a sentence or two
If you feel comfortable doing so, please describe any systemic barriers you face and/or aspects of your social positioning that you feel are relevant to your financial situation or your request for a scholarship (e.g. race, socioeconomic status, single parent/guardian, disability, etc.)
What is your household's annual gross (pre-tax) income? (please round to the nearest thousand dollars)
e.g. $61,547 would be $62,000
Do you foresee this income changing in the next six months?

YesNoMaybe
Please explain:
PART B

Short Answer Questions
Did you participate in the Afterschool program or Wild Tenders last year?*

YesNo
I. GETTING TO KNOW YOUR CHILD

Thank you in advance for taking the time to answer the following questions as thoroughly as you can. Your responses are invaluable! They will help us get to know your child as we review your application, and we often refer back to these answers during the year together. Even if you've done Wild Tenders Afterschool before, we know that your children are evolving and maturing as they age. We'd like to know who they are now :)
How would you describe your child? If you are a returning Wild Tenders Afterschool family, describe any changes you've noticed in the past year or since you were last enrolled.*
How do you hope your child will grow as a result of being in the Wild Tenders Afterschool program?*
What are your child's interests? What activities do they do on a regular basis?*
How would you describe your child's connection to nature? What fears, if any, do they have about nature?*
What is pleasurable and easy for you regarding your childʼs personality, and what is challenging?*
How does your child engage in social settings? Are there any challenges or opportunities that you think we should know about? *
Does your child exhibit any behavioral patterns that we should know about? *
Does your child have any sensory developmental needs or challenges that we should know about? *
Can your child communicate their wants/needs effectively? If not, what does it look like when they want/need something? *
Does your child see, or have they seen, a therapist, of any kind?*

YesNo
What were the reasons for this and how does this affect your child at the current time?*
*Note: your answer to this question is confidential and will not impact your child’s acceptance, however we have experienced hardships from not being informed of such matters. Without this information, we are limited as to how well we can be of support to your child and to the rest of the group.
Does your child take medication on a regular basis?*

YesNo
For what?*
*Note: your answer to this question is confidential and will not impact acceptance. We ask to ensure that our staff are capable of attending to any needs that arise for your child in the field. If your child does take medication, especially for severe conditions, knowing that will allow us to have a conversation to make sure we can support your child as well as possible and that all involved feel competent and prepared.
Does your child have an Individualized Education Plan (IEP)?*

YesNo
Please share any details about your child's IEP that you think might be relevant to ensuring they receive the support they need at Wild Tenders. *
*Note: your answer to this question is confidential and will not impact acceptance. We ask to ensure that our staff are capable of attending to any needs that arise for your child in the field. Knowing will allow us to have a conversation to make sure we can support your child as well as possible and that all involved feel competent and prepared.
II. GETTING TO KNOW YOUR FAMILY
How would you describe your and/or your family's connection to nature? *
What is your and/or your family's relationship to social justice issues? Do you talk about race, gender, class and other aspects of people's varied life experience?*
How do you and/or your family approach conflict and discipline?*
Thank you for taking the time to fill this application out! Once you submit, you will receive an email with information about next steps. If you haven't received that email within 24 hours, double check your spam folder and if it isn't there, please reach out to youthprograms@weavingearth.org.
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WILD TENDERS AFTERSCHOOL

PART A

I. CONTACT INFORMATION

II. WHO ARE YOU APPLYING FOR?

III. PROGRAM INFORMATION

IV. SCHOLARSHIP INFORMATION

PART B

I. GETTING TO KNOW YOUR CHILD

II. GETTING TO KNOW YOUR FAMILY