Application for New Students

New Student's Information

Name*

First Last

Age*

Date of Birth*

Child will be able to ski/board on Sunday?*

Yes
No

Do you have an Economic need for this scholarship?*

Yes
No

Is the applicant willing to help with fund raising activities*

Yes
No

(i.e. sell raffle tickets)?

Is the applicant wishing to ski or snowboard?*

Ski
Snowboard

Experience Level*

Beginner
Intermediate
Advanced

Does he/she have their own equipment?*

Yes
No

Height*

Weight*

Shoe Size*

Will the child perform work for the 50.00 cost?*

Yes
No

How?*

Will the child be committed to attending all 8 weeks of the program?*

Yes
No

Please have the child explain why they want this scholarship:*

Parent's Information

Mother's Name*

First Last

Work Place*

Mother's Occupation*

Job title/What does she do for work?

Mother's Annual Income*

(estimated is fine)

Number of Dependents*

Father's Name*

First Last

Father's Work Place*

Father's Occupation*

Job title/What does he do for work?

Father's Annual Income*

(estimated is fine)

Parent's Marital Status*

Married
Divorced - Joint Custody
Divorced - Mother Has Custody
Divorced - Father Has Custody

Number of Dependents*

Your Email*

Enter Email Confirm Email

or best email to reach you at

Any other information you'd like us to know?

Did we miss anything, or is there anything you'd like to clarify from above?

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NIMSEF - New Student Scholarship Application

New Student's Information

Parent's Information