Youth Backcountry Camp Scholarship Application

The TRTA provides need-based scholarships for the Youth Backcountry Camp Program to youth who face barriers to participating in an outdoor recreation program or being accurately represented in outdoor spaces. To be considered for a scholarship, complete the form below.

Please list the amount you can pay towards the $225 program fee.

Participant Information

Child/Ward Name

Preferred Trip Date

Age During Trip

Gender:

MaleFemaleNon-binaryTransgenderOther (specify below)

Ethnicity/Race (check all that apply):

American Indian or Alaska NativeAsian or Pacific IslanderBlack or African AmericanHispanic or LatinoWhite or CaucasianOther (specify below)

Other:

Household Information

Total number of adults in household.

Total number of children in household.

Parent/Guardian 1

Name

Employer

Occupation

Current Annual Income Before Taxes

Parent/Guardian 2

Name

Employer

Occupation

Current Annual Income Before Taxes

Family Structure (check all that apply):

MarriedSingle-parentDivorced or RemarriedWidowIncarcerated Parent/GuardianFoster or Adopted FamilyMulti-generational

Outdoor Recreation Barriers

Select the barriers that prevent your child/ward from accessing outdoor recreation opportunities:

I’m not aware of opportunitiesI don’t know how to recreate outdoorsI don’t have the time to recreate outdoorsOutdoor recreation spaces are far from where I liveI don't have transportation to outdoor spacesThe cost of outdoor gear is too highI can't afford to pay for an outdoor recreation programI don't read or speak English proficientlyI feel unsafe or unwelcome in outdoor spacesMy child/ward has a physical or mental disability

Please describe the barriers that prevent your child/ward from accessing outdoor recreation opportunities.

Participant Essay

Please share why you are interested in participating in the Youth Backcountry Camp Program and how you expect this experience to help you address any personal challenges (to be filled out by the child/ward).

Name

The TRTA reserves the right to request proof of income at any time and may reject or revoke a scholarship if the information provided in this application is inaccurate.

I agree that the information provided above is complete and accurate to the best of my knowledge.

Questions? Contact Emily Dawes at emilyd@tahoerimtrail.org or (775) 298-4493.