Scholarship Application Form
Please complete this form if you need to apply for a scholarship beyond the options listed in our online registration. We prioritize scholarships for identities who previously have had less access to nature. This includes folks of color and folks on the gender spectrum. All applicants must have a financial need to be approved.

We have a limited amount of scholarships, but we hope to be able to serve everyone who needs and we will do our best to meet your request or meet you in the middle. Once you submit this application form, we will be in touch shortly.
Full Name of person filling out this form *
Your answer
Your relationship to participant? *
Your answer
Participant's first and last name *
Your answer
Participant age and grade when entering program you are applying for *
Your answer
Gender Identity of participant *
Your answer
Racial/ethnic identity of youth, please check all that apply *
Required
Email *
Your answer
Primary Phone # *
Your answer
City you live in: *
Your answer
Name of program(s) you wish to apply for: *
Your answer
How much are you able to afford to pay for this program? Consider the monthly payment plan (pay in small chunks on the 5th of each month) *
Your answer
Please explain why you are applying for a scholarship. Share relevant family income and expenses and any hinderances you have to paying the standard tuition or the online scholarships that give an additional $200 off. *
Your answer
As being a part of the Gaia Village - We ask all families to contribute, when possible, their time and skills for being a part of our programs. Please list any special skills and trades you can provide us in exchange for our offerings and if you can provide, about how many hour you can provide.
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