The Lhotse Scholarship Fund - Santa Fe Climbing Center : Santa Fe Climbing Center

After School Climbing Scholarship Application

Thank you for your interest in The Santa Fe Climbing Center After School Climbing Program. The Santa Fe Climbing Center believes that climbing can teach each child many valuable life lessons and skills. With that in mind we strive to give every child a change to experience this no matter the circumstances. As a result, we have some financial aid available for qualifying families.

This after school scholarship program offers financial assistance to Santa Fe families with children between the ages of 5 and 13, who cannot afford the full cost of our after school program. Scholarships are limited and are distributed on first come, first serve basis. Also note, scholarships are rarely, if ever, given to cover the cost of a full after school session.

Please complete and return the attached forms. All portions of the application must be completed.

To be eligible for this after school scholarship program you must be a Santa Fe County resident.

Personal Information

Child’s Name*

First Last

Child’s – Date of Birth*

We are able to offer scholarships toward a one day per week after school program of your choice, depending upon available space.

After School Day Choice:*

Parent(s') Name(s)*

Phone*

Email*

Enter Email Confirm Email

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Financial Aid Information

All answers will be kept confidential.

How much after school tuition are you able to pay yourself?*

Gross Income*

Total yearly or monthly wages and income.

Do you own individual assets that value $20,00 or more? If yes, please list them here (properties, trusts, securities etc.).*

How many dependent children are living in with you?*

Please list with ages.

Does the child receive free or reduced lunches at school?*

Are your children in the household attending any other after school programs and receiving financial aid?*

If yes, please list the after school programs, tuition and amount of financial aid received.

Will you be receiving any other financial or other assistance for childcare? If yes, please explain.*

Please add any additional information that would explain your need for financial aid.

Supporting Documents*

Max. file size: 64 MB.

Please submit the following documents: Most recent proof of income (pay stubs or tax return). Proof of Santa Fe County residency. Any other applicable documents.

Certification of true statement:*

I Agree
I Disagree

By selecting I AGREE, I certify by electronic signature that the above is a true disclosure of my financial status, that all of the information provided is true and complete to the best of my knowledge and I agree to notify Santa Fe Climbing Center in the event that my financial status changes. I understand that I may be asked to provide information that will verify the accuracy of my completed form.

Name

First Last

Agreement Date*

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