Adaptive/Disabled Veteran Application

Instructions:

Fill out Completely (Be Accurate) Please attach a copy of last year’s tax return (required). (Parents return for dependents)
We believe that anything that is earned is valued more. A fee of $100.00 for first timers and $200.00 for returning students is required.
Print the application and Mail it to: PO Box 170 Ponderay, ID. 83805, Call Jeff at 208-267-7010

Name of Applicant

DOB

Phone #

Address - Street

Address - City, State

Address - Zip Code

Email

Annual Income

Nature of Disability

Work Place

Occupation(s)

Do you have an economic need for this scholarship?

Yes No

Is the applicant wishing to ski or snowboard?

Ski Snowboard

Experience level?

First Timer Beginner (some experience) Intermediate Advance

Does the applicant have their own equipment?

Yes No

Height

Weight

Shoe Size

Please have the applicant explain why they want this scholorship:

Print Application

When you complete the application below, and click "Submit", a "DOWNLOAD PDF" link will appear below the Submit button.