Explorium Scholarship Application

Explorium Scholarship

Thank you for applying for a scholarship for the Mountain Top Exploirum after school and school break programs. Please take a few minutes to complete the scholarship and we will do our best to get back to you within 7-days. Please note, that we accept scholarship applicants on a rolling basis. If you are worried about securing your registration, you can enroll your child, and pay the 20% deposit. If you receive a scholarship we will apply your scholarship to your final amount due.
Parent Name

First NameLast Name
What is your preferred language?

EnglishEspañolOther
Parent Email
example@example.com
Parent Phone Number
Please enter a valid phone number.
Do your child(ren) quality for any of the programs below?

Qualify for free & reduced lunchColorado Health Plan Plus (CHP+)None

Student Information

	Name	School	Grade in Fall 2024	Ethnicity	If not in program, What would your child be doing?
Child 1
Child 2
Child 3
Child 4

What do you hope your child gains from participating in this program?
In detail, please explain why financial aid is necessary for your family. Include relevant information about your current employment status and your financial situation.
I certify that the information provided is true and correct. I also understand that any willful dishonesty may render for refusal of this application or immediate termination of financial assistance.
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