Enter the name of the person who will be receiving the pass, lessons or rentals from UVSSF.
Name (First and Last):
Please check the appropriate box:
I am the parent or guardian of the applicant.
I am an adult applicant (18 years or older).
Your Name (First and Last):
Occupation and Employer:
Home or cell phone:
Other Parent/Guardian Information (If there is a second parent/guardian, please enter name, occupation and employer):
Other Parent/Guardian Email:
Check all that apply to your financial assistance request
Season Pass (enter type of pass below)
Ski Package Rental
Snowboard Package Rental
Camp or Clinic (enter which camp or clinic below)
After-School Program (enter school name below)
Whaleback Mountain Club/Core Team (Check here to have your application sent to WMC Financial Aid Committee)
Season Pass Type (skip if you do not need a pass):
Young Adult (18-29)
Applicant qualifies for one or more of the following special pass categories (skip if you do not need a pass):
High School Honor Roll
After-School Program Information - school name (skip if this does not apply):
Camp or Clinic - state which Whaleback camp or clinic (skip if this does not apply):
Are you applying for Whaleback Mountain Club/Core Team financial aid as well?
Whaleback Mountain Club/Core Team
Whaleback Mountain Club/Core Team Program (skip if application is not being forwarded to WMC Financial Aid Committee)
Devo Comp Team
Core Team Freestyle
Core Team Snowboard
Core Team All Mountain Club
Total Number of People Living in Household (regardless of marital or living status):
Number of Dependents in Household (Indicate total number of dependents, regardless of marital or living status.)
Annual Household Income (Please indicate the combined income of both parent/guardians, regardless of marital or living status.)
Do you (your family) qualify for free/reduced lunch, food stamps, or a similar program?
Please describe any extenuating circumstances that are currently causing a financial burden.
How would an award positively impact the recipient's life?
Amount (if any) you are able to contribute to total cost:
Upload last signed 1040 here:
Should be Empty:
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