WIA Summer Camp Scholarship Application Deadline: May 18th, 2020

Applicants must either reside in Big Sky, or attend Big Sky School District, and be between 5 and 17 years of age.

Fill out ONE application for your family, unless the financial circumstances for your children differ.

Please fill out each question as completely as possible.

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

Scholarships are decided based on the standards set by financial requirements for receiving Montana Healthy Kids Insurance, adjusted for Big Sky's higher cost of living.

For further information, please visit our website at www.bigskywia.org or contact us at info@bigskywia.org.

*Required
Email address *
CAMPER INFORMATION
Applicant's Full Name (child's name) *
Your answer
Applicant's Age at Start of Camp *
Your answer
Camp or Program Name *
Your answer
Length of Camp or Program *
Your answer
Total Cost of Camp(s) *
Your answer
Amount of Scholarship Requested *
Your answer
Why will the applicant be attending camp? (check all that apply)
I give permission for my child(rens) 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. *
Applicant's Full Name (child's name)
Your answer
Applicant's Age at Start of Camp
Your answer
Camp or Program Name
Your answer
Length of Camp or Program *
Your answer
Total Cost of Camp(s)
Your answer
Amount of Scholarship Requested *
Your answer
Why will the applicant be attending camp? (check all that apply)
Applicant's Full Name (child's name)
Your answer
Applicant's Age at Start of Camp
Your answer
Camp or Program Name
Your answer
Length of Camp or Program *
Your answer
Total Cost of Camp or Program
Your answer
Amount of Scholarship Requested *
Your answer
Why will the applicant be attending camp? (check all that apply)
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.
What is your marital status? *
How Many Adults Live In Your Household? *
How Many Children Live In Your Household? *
Parent 1 Full Name *
Your answer
Parent 1 Email Address *
Your answer
Parent 1 Mailing Address *
Your answer
Parent 1 Phone Number *
Your answer
Parent 1 Employer *
Your answer
Parent 1 Annual Income (Include alimony, child support, and any rental income if applicable.) *
Your answer
Parent 2 Full Name (If applicable) Please fill out this section if you are married or co-parenting. If you are a single parent with full custody, please skip to the next section, and give a short explanation in the "Personal Statement" section below.
Your answer
Parent 2 Mailing Address
Your answer
Parent 2 Phone Number *
Your answer
Parent 2 Employer *
Your answer
Parent 2 Annual Income (adjust for after alimony, child support if applicable) *
Your answer
How much do you spend per MONTH on rent/mortgage? *
Your answer
What are your total monthly bills (Utilities, insurance, etc.) *
Your answer
Do you or your family qualify for additional financial assistance programs? (check all that apply) *
Required
Please share a personal statement with any additional information that will assist the WIA board in determining your eligibility.
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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