Financial Aid Form

Financial Aid Form

If you have any questions email info@womenswilderness.org
Is this application for an adult or youth course?*

AdultYouth
Participant Name *

First NameLast Name
Parent/ Caregiver Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
City *
State*
Please list your participant's school or organization if you were referred by one of our partners. If you are unsure you can list your school and we can check.
Course Information
Adult Course: Please select a course. Please apply for each individually if you have multiple you would like to receive aid for.

Summit SistersOther
Youth Course: Please select - more than 1 - course since we are not able to guarantee placement on your first choice. Please make sure your student meets the age requirements.

Mighty Melanin Adventure Day Camp 7/8-12/2024High Peaks Backpacking Expedition 7/28-8/2/2024
If you selected more than one course, what is your first choice? *
Please be aware of deadlines for each course including the registration deadline and the paperwork deadline. Paperwork needs to be signed by a medical professional so please make sure you have an appointment before the deadline or choose a later date.
Household Income, Household Members, and Expenses.
Number of Individuals living in household (include yourself) *
Total MONTHLY household income*
Do you qualify for SNAP or TANF from the state of Colorado?*

Yes, I/we qualify for SNAP benefitsNo, I/we do NOT qualify for SNAP benefits
Are there any UNUSUAL expenses or financial circumstances your family is currently facing? (Not including regular household expenses such as rent, utilities, insurance, ect.). If so, please explain.*
We ask that each participants pays a meaningful amount in replacement of a deposit. Our typical deposit (for summer) is $75 on average. How much would you be able to contribute to your deposit?
Is there anything else you would like us to know?
By checking the box below, I certify that the above information is true and complete, and is an accurate representation of all income and funds available to pay for the course.*

I certify that the above information is true and complete, and is an accurate representation of all income and funds available to pay for the course.
Once you submit this form, it will automatically be sent to the Admissions Coordinator. If you get aid you will get an email with a financial aid offer that you can accept or deny. Depending on the season it might take about 5 business days to receive a response.*

I understand
Should be Empty:

Financial Aid Form

Course Information

Household Income, Household Members, and Expenses.