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Sunday Morning Yoga Scholarship Application
Use this form to request a scholarship to participate in our 5-week adaptive yoga series presented by Columbia Threadneedle Investments, led by instructor Josh Sauvageau, April 11-May 9, 2021. The cost for the program is $25 and Dare2tri is able to offer scholarships for up to the full amount based on financial need.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
What is your disability? (check all that apply)
*
Amputation - Upper Limb
Amputation - Lower Limb
Cerebral Palsy
Muscular Distrophy
PTSD
Spina Bifida
Spinal Cord Injury
Stroke/TBI
Visual Impairment/Blind
Have you served in the military?
*
Yes, active duty
Yes, veteran
No
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The cost of the program is $25. How much can you afford to pay?
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Financial Information
Please describe your financial need and how a scholarship will help you to achieve your goals
*
Household size (# of people in household, including yourself)
*
Annual Household Income
*
% FPL
Do any of the following apply to you:
I am a full-time student
I am the parent of a child/children under 18
I am currently paying college tuition or repaying student loans
I am currently unemployed
I am eligible for SSI/SSDI
I receive SNAP, reduced school lunches, or other income-based assistance
Other Considerations Count
Donations and grants are used to cover the cost of race scholarships. If requested, are you willing to write a thank-you note or provide a testimonial? (can be done anonymously)
*
Yes
No
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