Colorado Discover Ability 2018-2019 Financial Assistance
Thank you for participating in CDA programs! This process will be completed on an annual basis beginning October 1, 2018 and will be good until September 30, 2019.

Colorado Discover Ability (CDA) is a non-profit organization and has limits on funding available for financial assistance. We strongly encourage participants to pay as much as they are able so that assistance will be available to others throughout the year. Our financial assistance is now provided on a sliding scale based on income. Because we have received some grant money allocated specifically for this purpose, our funders have requested that we collect the following information from you. All of the information requested is for CDA use only and will remain confidential, unless required to be reported as part of the grant.
Welcome to:
Which Program (s) do need financial assistance for? (Please check all that apply)
Participant's First Name *
Participant's Last Name *
Veteran *
Not a Veteran
Pre 2001
Post 2001
Prefer not to answer
Veteran
Participant's Date of Birth *
MM
/
DD
/
YYYY
Gender *
Address *
City *
State *
Zip *
Phone Number (include area code, no dashes please) *
Please provide the best contact number.
Email Address *
Participant's Ethnicity *
Parent or Guardian completing application *
Relationship to Participant *
Phone Number (include area code, no dashes please) *
Are you new to CDA? *
Are you applying on behalf of a minor child or as the guardian of the client? *
How did you hear about CDA? *
What was your first year with CDA? *
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