2024 WILD TENDERS APPLICATION

2024-25 WILD TENDERS APPLICATION
Thanks for taking the time to fill out this application! 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.
PART A

Contact and Program Information
I. CONTACT INFORMATION
Your Name*

First Last
PARENT FULL NAME
Pronouns
E-mail*
Phone Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Partner/Co-Parent's Name

First NameLast Name
PARTNER/CO-PARENT FULL NAME
Partner/Co-Parent's Pronouns
Partner/Co-Parent's Email
example@example.com
Partner/Co-Parent's Phone Number
Is your Partner/Co-Parent's address the same as yours?

YesNo
Partner / Co-Parent's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
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
Are any other siblings planning on applying or attending Wild Tenders?*

YesNo
#1 Sibling's Name

First NameLast Name
#2 Sibling's Name

First NameLast Name
#3 Sibling's Name

First NameLast Name
III. PROGRAM INFORMATION
REMINDER: For youth who are on the cusp of these age groups (6-turning-7 or 10-turning-11, e.g.), we like to have a conversation with the parents to decide whether the younger or older group is a better fit.
Please select the age range that your child will be in as of September 2024.*

4 - 67 - 1011 - 14
Is your child able to use the bathroom on their own?*

YesNo
Has your child ever exhibited "bolting" behavior?*

YesNo
Please elaborate:*
COHORT
What is your choice of program days for Quail? (Select all days you wish to attend)*

TUESDAYWEDNESDAYTHURSDAY
What is your choice of program days for Bobcats? (Select all days you wish to attend)*

TUESDAYFRIDAY
What is your choice of program days for Otters? (Select all days you wish to attend)*

TUESDAYWEDNESDAY
Would you be able to attend an Awakening Awareness program on Monday instead of Friday?*

YesNoMaybe
Please explain:*
IV. TUITION
Are you able to pay on the sliding scale for this program? (Between $3200 - $3600)*

YesNo
Are you able to pay on the sliding scale for this program? (Between $5700 - $6400)*

YesNo
Are you able to pay on the sliding scale for this program? (Between $8000 - $9000)*

YesNo
What amount in the sliding scale are you able to pay?*
Between $3200 - $3600
What amount in the sliding scale are you able to pay?*
Between $5700 - $6400
What amount in the sliding scale are you able to pay?*
Between $8000 - $9000
Are you interested in applying for a scholarship?*

YesNo
How much could you pay for your selected program?*
Are you able to pay more to support scholarships?*

YesNo
Thank you for your generous donation. How much are you able to gift?*
Are you planning to apply Charter School funds to your Wild Tenders tuition? If so, which Charter School are you planning to use?*

HeartwoodWe're not planning to use Charter School funding
PAYMENT TIER
V. SCHOLARSHIP INFORMATION

Your response to the following questions is optional, but it does help us determine what to offer based on your family's situation. We use statistics from the Department of Housing and Urban Development as well as Sonoma County median income data to do our calculations. If you prefer not to answer the following questions, we will contact you directly to discuss next steps.
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 {childsName} participate in 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 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 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 program?*
What are your child's interests? What activities do they do on a regular basis?*
Please list the other programs and schools your child will be (or may be) participating in during Wild Tenders. *
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.
Should be Empty:

2024-25 WILD TENDERS APPLICATION

PART A

I. CONTACT INFORMATION

II. WHO ARE YOU APPLYING FOR?

III. PROGRAM INFORMATION

IV. TUITION

V. SCHOLARSHIP INFORMATION

PART B

I. GETTING TO KNOW YOUR CHILD

II. GETTING TO KNOW YOUR FAMILY