Youth Program Scholarship Application Logo
  • Application for Scholarships

    Chintimini Wildlife Center Youth Education Programs
  • Child's Information

  • Parent/Guardian Information

    Please fill out this section completely.
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  • Financial Information

    Fill out the corresponding sections that best describes your situation.
  • Total Household Income:

    Please detail your monthly income below. 

  • Please provide copies of all your income so that we may determine if you qualify. If you receive Oregon Trail benefits, you only need to provide a printout that shows the income that you reported to the State and the amount they awarded you in cash and/or food assistance. You can obtain this printout at the front desk of your local Department of Human Services (DHS) office.

  • Upload File or Photos
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  • Other Circumstances

    In the space provided below, please describe any other reasons or circumstances (past, present, or future) that you feel increase your qualification and/or need for financial assistance at Chintimini Wildlife Center (e.g., family circumstances, academic standing, etc).
  • Signature:

    I certify that the above information is accurate and completed to the best of my knowledge. I give Chintimini Wildlife Center permission to verify all of the above information. I understand that any incorrect information will result in the immediate disqualification for the requested discount. 

     

    Conditions:

    The program fee (minus the 50% scholarship) is the amount you owe for the program. This fee must be paid in full on or before the first day of your child's program. 

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