Nebraska DEVO Scholarship Form
Community is important to us at Nebraska DEVO! Please let us know how we can help your situation best, whether it's for coach needs, youth needs, or family needs. We are here to empower great people in our family!
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Email *
Coach Name(if applying for self) *
Rider Name *
Rider Age *
Rides a pedal bike without assistance or training wheels *
Required
Parent or Guardian Name *
Phone number *
Address *
DEVO site location this child/coach is hoping to attend? *
Required
Application is for(be specific in need) EXAMPLE: registration discount(cost), equipment(bike, helmet), transportation(car rack), special needs accommodations(health/development considerations), etc. LIST YOUR SPECIFIC REQUEST DETAILS BELOW. DEVO cannot accommodate all needs but we can connect you with other organizations that may, if we cannot: *
In the space below, please describe your current financial situation, indicating why you are in need of financial support/assistance consideration for your daughter/son to participate in Nebraska DEVO. Your identity will be kept confidential.
 *
Sliding Scale - Due to the limited nature of our scholarship funds and in the interest of fairness to all scholarship applicants, we ask that all participants pay for their participation to the best of their ability. Please indicate what portion of the fees you are able to pay. I am able to pay $______ toward the fees for the activities checked above.
 *
A copy of your responses will be emailed to the address you provided.
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