CoBank No Barriers Program Application

2025 No Barriers CoBank Program Application

Please complete this application in its entirety. You will receive an email confirmation once your completed application is submitted. If you have questions about the application process or need assistance filling out an application, please contact us: Email: info@nobarriersusa.org Phone: 970-484-3633 ext. 201
Thanks to the generous support of CoBank, applicants who live in a rural or semi-rural area will receive a stipend to support their travel to/from the Denver or Fort Collins, CO area to participate in their program. They will also receive a $500 credit towards their personal fundraising goal.

CoBank is a financially strong, dependable, socially responsible, cooperative bank that provides relevant credit and financial solutions to rural America. The support they provide to rural communities is truly transformative.

Essential Eligibility Criteria
Please read through the 2025 Essential Eligibility Criteria document to ensure you are able to met the minimum requirements for participating in a No Barriers program
Do you have any concerns regarding the Essential Eligibility Criteria listed above?*

YesNoOther

Personal Information
Name*

First NameLast Name
Birth Date*

MonthDayYear
Birth Date
Mobile Number*

Area CodePhone Number
E-mail*
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Which of the following best describes the community in which you currently live?*
Are you a military veteran?

YesNo

Program Specific Questions
Briefly describe your disability or your caregiving journey.
How did you hear about No Barriers USA?*
What access do you have to a technology device for participation in the interactive, online phases of this program? (this includes an online course and virtual meetings with the expedition or basecamp team)*

I have regular access to a computerI have regular access to a tablet or smartphoneI do not have regular or consistent access to a computer or other deviceOther
How comfortable are you using technology to participate in an online course and for virtual meetings?*

Very Comfortable, I can usually figure it outComfortable, I may need some guidanceUncomfortable, I need supportVery uncomfortable, I need a lot of support

Personal and Program Fit
Why are you interested in participating in a No Barriers program?*

0/250
What do you hope to gain from this experience?*

0/100
What kind of teammate are you?*

0/140
Do you have any concerns about successfully completing a No Barriers program?*

0/140

Acknowledgement and Submission
Are there any physical or medical accommodations you would require to participate in this trip?*
Please select the programs you are interested & available to attend*

Veterans with Disabilities Basecamp 6/12/25 through 6/16/25 with Phase 1 Meetings beginning on 5/15/25Family Caregivers Basecamp 6/26/25 through 6/29/25 with Phase 1 Meetings beginning on 5/30/25People with Disabilities Basecamp 7/17/25 through 7/21/25 with Phase 1 Meetings beginning on 6/19/25Veterans with Disabilities Backcountry 8/21/25 through 8/26/25 with Phase 1 Meetings beginning on 7/24/25Veterans with Disabilities Basecamp 9/18/25 through 9/22/25 with Phase 1 Meetings beginning on 8/21/25Family Caregivers Basecamp 9/25/25 through 9/28/25 with Phase 1 Meetings beginning on 8/28/25People with Disabilities Backcountry 9/4/25 through 9/8/25 with Phase 1 Meetings beginning on 8/7/25Please roll my application over if not selected
Phase 1 & Phase 3 virtual meetings 5pm Mountain Time beginning on the dates listed above. Please acknowledge that you will be available to attend these biweekly prior to the in person opportunity and following the in person opportunity.*
Is there anything else you'd like us to know when considering you for selection?
Thank you for your application. We will review the information you have provided and follow up with you regarding our 2025 programs. Please enter your first and last name to recognize your understanding. Once you click the button below, you will receive an email confirmation letting you know that your application was successful. We will review applications on a rolling basis and begin the screening process as appropriate. Please don't hesitate to contact us at info@nobarriersusa.org or 970-484-3633 ex. 201 if you have any additional questions.*
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2025 No Barriers CoBank Program Application