Eagle Mount Scholarship Request
We invite everyone to take part in our programs regardless of their financial circumstances.  Those who demonstrate financial need may be eligible for help with some program costs. 

To be considered, please complete and submit the below. We will contact you after we process your request. We have limited scholarship funds and work to help as many people as possible.

Note - If the participant does not call or arrive to the scheduled lesson for two (2) lessons, the remainder of the session lessons will be forfeited and future scholarship eligibility re-evaluated.  

All information you provide remains confidential.  Eagle Mount does not determine awards based upon age, sex, race, color, religion, national origin, disability, sexual orientation, marital status or veteran status.
Email *
General Information
Date: *
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Participant Name: *
Name of Parent / Guardian *
Address: *
Primary Phone Number: *
Email: *
Payment
Please ensure that Scholarship Assistance Requests are submitted and co-pay is made PRIOR to the start of the program(s).
What program(s) will the participant take part in? *
Required
What is the total cost of the programs desired? *
We are able to provide scholarships that cover part of the program(s) cost. 
What amount are you able to pay towards the total cost?
 *
Household Information
Number of people in household - children and adults: *
Number of household members with a disability: *
Household income from all sources pre-tax? *
How will the requested scholarship be beneficial? *
Please describe any other financial burdens or additional factors that should be considered: *
Thank you for your time. We will reply in 7-10 days. If this is pressing, please email info@eaglemountbillings.org.
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