Indigo Village Educational Foundation - Business Center In Cardiff, CA USA

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Indigo Village Educational Foundation: Individual Scholarship Form

Section 1: General Information

First Name *

Last Name *

Adress:

City

State

Phone #

Email Address

Professional Occupation

Age

If you are applying for a minor who is under the age of 18, please indicate the child's name and age in the column below.

Name:

Age:

Section 2: Program Information

Please Indicate which of the following programs you are applying for:

Parenting Programs

Redirecting Children's Behavior (RCB) 5-week course

Option 1

Key to Personal Freedom 4-week course

Option 2

Kids Programs

RCB for Kids (Ages 3-5)

Option 3

RCB for Kids (Ages 6-10)

Option 4

Teen Programs

Kids Magnificence Experience (Ages 9-14)

Option 5

Enjoying the Teen Years Workshop for Parents

Option 6

Personal Development Programs

The Remembrance Course (Formerly UYO)

Option 7

The Freedom to Be (Formerly LYO)

Option 8

School Programs

Redirecting for a Cooperative Classroom

Option 9

Parent Educator Training Program (PINT)

Option 10

Please Indicate the date of the course selected above

Please indicate the dollar amount of assistance that you are applying for. (this could be full or partial assistance)

Section 3: Questionaire

1)Please describe why you are interested in receiving financial assistance. Also include how you will be able to better serve yourself and your community after participating in the specified program.

2) If granted a scholarship, would you be interested in finding out about ways that you could pay it forward by supporting the mission of Indigo Village and the Indigo Village Educational Foundation?

3) If you answered yes to question 2, please indicate below the opportunities you would be interested in finding out about.

Flyer Distribution

Option 1

Enrolling a friend and/or family member into one of the programs offered through Indigo Village

Option 2

Teaching or assisting a course through the Indigo Village Educational Foundation

Option 3

Providing a community and/or business contact that might be interested in partnering or supporting the Indigo Village Educational Foundation

Option 4

Volunteering for an event held through Indigo Village and/or the Foundation

Option 5

If any of your selected options include a referral or contact person, please complete the information below.

Contact/Referral

Company/Organization

Contact Number

Contact Email

Enter the verification code in the box below.

Verification Code: *

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