Hawthorn Farm: Youth Program Scholarship Request

Hawthorn Farm Youth Program Scholarship Request
Program Name *
Program Start Date*

MonthDayYear
Date
Name of Participant*

First NameLast Name
Age*
Name of Parent of Guardian*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
E-mail*
At Hawthorn Farm we honor a variety of financial situations and needs as best we can. We believe our programs are valuable for people and our connections, our community, and our world. We believe that everyone should be able to experience quality Nature/People/Food Connection regardless of financial situation, and we also need to support our Farm Program’s continued existence with enough tuition. Therefore, we do our best to provide what we can in scholarships to meet as many requests as we are able. We are also able to create payment plans with families if you request that. To help us better know you and understand your request, can you please answer the following:
How did you hear about our programs?
What are your hopes for your child for this program, and how do you see your child's passions being served by this program?*
Hawthorn Farm can offer up to 30% off tuition. How much of a scholarship are you requesting? *
Please describe briefly why you are requesting the scholarship*
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Hawthorn Farm Youth Program Scholarship Request