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Women In Action Enrichment Scholarship (Deadlines: Jan 1st, May 1st, Sept 1st)
Thank you for applying for a WIA Enrichment Scholarship. Applicants must be Big Sky residents between 5 and 17 years of age. Enrichment scholarship are awarded for opportunities outside the traditional camp experience: tutoring, music lessons, community service experiences, leadership opportunities, adventure travel with youth organizations, etc.

Please fill out a separate application for each child in your family that would like to participate in an enrichment activity.

Please fill out each question as completely as possible.

If you cannot answer a required question, please write in "NA."

In order to assure fair access to available funding, we are not able to accept applications after each deadline. Any applications received after the deadline will be rolled over into the next cycle for the next deadline. Most scholarships range between $150 and $300 depending on financial need and amount of request. For further information, please visit our website at www.bigskywia.org or contact us at info@bigskywia.org.

Email address *
CAMPER INFORMATION
Applicant's Full Name (child's name) *
Your answer
Applicant's Age at Start of Program *
Name of Enrichment Program Applicant Wants to Attend *
Your answer
Is this a one time activity or is it on going? *
If this is ongoing, how often will the applicant attend the activity and long does it last?
Your answer
Total Cost of Enrichment Activity *
Your answer
Amount of Scholarship Requested *
Your answer
Why will the applicant be participating in this activity? (check all that apply)
Why is it important for your child to attend this program? *
Your answer
Would your child like to be considered for the Harbor Kingston deWaard Scholarship? These scholarships are based on the applicant's dedication to community service as well as financial need. If yes, please have your child ages 8-17 write an essay about what community service is and what it means to them. Children ages 5-8 may draw or picture or create a piece of art about what community service means to them. Please email them to info@bigskywia.org or mail them to Women In Action, PO Box 161143, Big Sky, MT 59716. *
I give permission for my child's photograph and/or artwork to be used in films, videos, media releases, written information, website postings, or brochures produced to promote the work of Women In Action. *
HOUSEHOLD INFORMATION
If you cannot answer a required question, please write in "NA."

All information gathered in this application will remain confidential. Personal information and financial information will only be used anonymously when creating statistics necessary to secure future funding of Women In Action.

Has your family ever applied for a WIA scholarship before? *
What is your marital status? *
How Many Adults Live In Your Household? *
How Many Children Live In Your Household? *
Mother's Full Name *
Your answer
Mother's Email Address *
Your answer
Mother's Mailing Address *
Your answer
Mother's Phone Number *
Your answer
Mother's Employer *
Your answer
Mother's Annual Income (before taxes & deductions) *
Your answer
Father's Full Name *
Your answer
Father's Mailing Address *
Your answer
Father's Phone Number *
Your answer
Father's Employer *
Your answer
Father's Annual Income (before taxes and deductions) *
Your answer
Additional Sources of Income (check all that apply) *
Required
How much do you spent per MONTH on rent/mortgage? *
Your answer
How much do you spend per MONTH on Utilities (phone, power, water, etc)? *
Your answer
How much do you spend per MONTH on Food (groceries, restaurants, etc.)? *
Your answer
How much do you spend per MONTH on Health Insurance? *
Your answer
Do you or your family qualify for additional financial assistance programs? (check all that apply) *
Required
Please provide a compelling personal statement regarding your financial need that supports your request. *
Your answer
I understand that all of the above information is true and correct and that all income is represented. I understand that this information is being given for receipt of the Women In Action Financial Assistance Program and that WIA staff may verify the information on the application. I understand that deliberate misrepresentation of the information will disqualify me immediately from this program. *
Please enter your full name to digitally sign this application: *
Your answer
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