Scholarship & Work Trade Application

Applicant Info

Name(Required)

First Last

Email(Required)

Phone(Required)

Pronouns

Are you over 18?(Required)

Yes

No

How'd you hear about us?

Please tell us how you heard about us!

Address(Required)

Street Address Address Line 2 City State ZIP Code

Emergency Contact Name(Required)

First Last

Emergency Contact Phone Number(Required)

Getting the Most Out of This Experience

Why do you want to take this course?(Required)

I identify as...

BIPOC

LGBTQ

Low-income

Check all that apply

Would you like to add anything?

Do you have any of the following

Medical conditions that could affect your time in the course

Allergies/health/food restrictions

Physical limitations in regards to foraging

Other accessibility needs

Check all that apply

Please describe, including any potential needs involved.

Tell us about your allergies/health/food restrictions?

Describe your physical limitations in regards to foraging?

We will often be walking on uneven terrain in multiple different environments with the possibility of being outside in Rainy/Cold conditions. While being outside there may be long periods of standing or sitting on the ground (unless you bring your own chair).

Tell us about your other accessibility needs?

Any questions, comments, concerns?