INNER GUIDE EXPEDITIONS SCHOLARSHIP APPLICATION Parent/Guardian Name* : Phone* : Email* : Address* : Youth’s Name* : School* : Age* : Gender* : MaleFemale Grade* : Summer expedition interested in* : What is your households average pre-tax monthly income this year (including any assistance payments such as Social Security, pensions, alimony, etc.)?* : < $10,000$10,000 - $30,000$30,000 - $60,000> $60,000 How many people are supported by this income?* : INNER GUIDE EXPEDITIONS SCHOLARSHIP APPLICATION(To be completed by parent/guardian) What interests you in Inner Guide Expeditions?* : How do you see this program a good fit for your adolescent?* : Tell us a little about your adolescent. What are you noticing in their development, challenges, strengths?* : INNER GUIDE EXPEDITIONS SCHOLARSHIP APPLICATION(Questions for the youth participant) What draws you to Inner Guide Expeditions?* : What do you hope to gain from an experience with Inner Guide?* : What is something about yourself that you appreciate? What is an aspect of yourself you are working to grow?* : We offer partial scholarships based on income level and demonstrated financial need. Partial scholarships range from 10%-50% off tuition with payment plans available. Tuition must be paid in full by the start of the expedition. Please mail to: Inner Guide Expeditions, Attn: Scholarships 2305 Ashland St., Ste. C, PMB 503, Ashland, OR 97520 Or email: info@innerguideexpeditions.com Δ