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Scholarship Application
Please use this form to apply for scholarship. Please note that this is an application and not a guarantee of scholarship for your requested course.
* Indicates required question
First Name
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Your answer
Last Name
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Your answer
Email Address
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Your answer
Phone Number
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Your answer
Street Address
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Your answer
City
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Your answer
State
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Your answer
Zip Code
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Your answer
Country
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Your answer
Course and Instructor Name
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Your answer
Course Start Date
MM
/
DD
/
YYYY
Scholarship Amount Requested
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Your answer
Why would you like to take this course and how would it help you (professionally, personally or otherwise)?
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Your answer
Please briefly describe the financial circumstances that prevent you from paying full registration fees:
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Your answer
What other sources have you contacted for assistance in taking this course?
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Your answer
Have you previously received a Ghost Ranch Scholarship?
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Yes
No
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