2025 Financial Aid Application
If interested in financial assistance, complete this application immediately after completing your WDH Hunt Application. Financial assistance will be authorized only after confirming applicant's input information and eligibility. Do not attempt to circumvent required appl. data fields below through incomplete or erroneous input; if you do, your appl. will be rejected w/o notice! Always refer to instruction comments that appear automatically by hovering w/ mouse near question's input box right-hand side. All financial assistance applications must be received by 5:00 PM MST on January 25th, 2025 for all species (antelope, deer and/or elk) - no exceptions! NOTE: Answering "Yes" to the Hunt Application question ("Are you requesting financial assistance?") does not fulfill the requirement for seeking/obtaining financial assistance; one MUST still complete this application and be deemed qualified before receiving financial assistance.
Name
*
Prefix
First Name
Middle Name
Last Name
Gender (M/F)
Date of Birth
*
Input as MM/DD/YYYY
Email
*
example@example.com (If you don't have an email, insert a family or friend's email for communication.)
Cell Phone Number
*
-
Area Code
Phone # (Input as ***-**** with hyphen)
Street Address
*
Street Address Line 2
(e.g. PO Box)
City
*
State
*
(Only use 2-letter abbreviation)
Zip Code
*
Mailing Address
*
Street Address
Street Address Line 2
City
State (2-letter abbreviation)
Zip Code
Annual Income
*
Include ALL incomes of any adults & adult children within same household that contribute to paying household living expenses.
Number in Household
*
Include all adults and children living under same household.
Please attach confirmation of household annual income(s) for all individuals included in your household number above (adults and children living in this same household that contribute to paying living expenses). WDH strongly prefers the first page of your 1040 tax return or equivalent tax form. If you don't file income taxes, please attach any/all other proof of all your income sources (e.g Social Security Benefits form, VA disability form, etc.).
*
Browse Files
Cancel
of
Please list two references (other than family members) that can be contacted:
*
First & Last Name
Cell Phone # (input as ***-***-**** using hyphens)
Relationship to Applicant
#1
#2
Game tag cost
*
Input cost as *** (omit $ sign) of your #1 species choice. [Non-resident Antelope:$326, Deer:$374 or Elk:$692]
Are you flying or driving?
*
Flying
Driving
(Flights are available directly into Cody, WY, where WDH is based. Complete ONLY the applicable 'Flying' or 'Driving' section below based upon your "Flying or Driving" answer here.)
Airfare (per person)
Input as *** (omit $ sign)
How many individuals are flying?
1
2
Include yourself and, only if needed, one accompanying caregiver. If special circumstances arise, pls contact WDH.
For travelers that are flying (type full name appearing on driver's license)
*
Full Name as it appears on ID
DOB (MM/DD/YYYY)
Hunter
Caregiver
Flying Total Costs
DO NOT INPUT (This box is automatically calculated.)
If driving, distance in miles (1-way) from your home to Cody, WY
(Use Google Maps as a source)
Number of motel nights (round-trip, only while traveling)
(Only include round-trip nights while driving to/from Cody, WY)
Motel lodging costs per night
Input as *** (omit $ sign). Note: WDH Allowable maximum is $100.00/night.
Driving Total Costs
DO NOT INPUT (This box is automatically calculated.)
Total Costs
*
Comments
1. Yr 2024 license costs: Antelope=$326, Deer=$374, Elk=$692 for non-residents. 2. WDH reimburses up to $100 per night for lodging and $0.30 per mile (round trip) for travel expenses. 3. Only if needed, just one caregiver is allowed unless special circumstances exist and WDH has approved the exception. Your able-bodied accompanying caregiver MUST be knowledgeable about and tend to 100% of your medical care needs. This responsibility is upon you and your caregiver and not any WDH volunteer(s) or companion hunter(s). 4. If approved for FA, receipts for any WDH-covered actual expenses (airfare, lodging, game tag) must be provided to WDH for reimbursement to be approved/paid. 5. All applications must be received by 5:00 PM MST on January 25th, 2025 - no exceptions!
Applicant Signature - Certifying the accuracy of all the information provided on this application.
*
Date
*
Input as MM/DD/YYYY
Submit
Questions can be directed to: Terry Skinner, President at (307)250-3771 tkskinner25@outlook.com OR Bryce Fauskee, Vice-President at (307)250-9805 bryce.fauskee@wysil.org
Should be Empty: