Scholarship Application

Download / Print Scholarship Application

CVPRD Scholarship Application Online

Name (required)

Parent/Guardian Name (if under 18)

Address (required)

City (required)

State (required)

Zip (required)

Phone (required)

Email (required)

Sex (required)

Male

Female

Age (required)

Program Applying for (required)

Fee (required)

How will you or your child benefit from the recreation activity you're applying to receive scholarship funds for? (required)

Applicants must be a District resident and provide either a valid driver's license or other picture ID indicating residency in Dacono, Frederick, or Firestone. Show proof of participation in an assistance program such as SNAP (EBT cards), Aid to the Needy and Disabled (AND), Child Care Assistance Program (CCAP), foster care, free or reduced lunch, Low Income Home Energy Assistance Program (LIHEAP), Medicaid, Medicare Savings Program, Old Age Pension (OAP), Supplementary Security Income/Social Security Disability Income, or Temporary Assistance for Needy Families (TANF). If you are not on a qualifying assistance program but your income is within federal low-income guidelines, please submit a copy of your most recent 1040 tax return with your social security number blacked out. If you are unable to upload documents, you may present your documentation in person at any CVPRD location.

Upload required documentation here

Your Signature (required)

Confirm e-Signature

Review Electronic Records and Signatures Policy (required)

Read our Electronic Record and Signature Disclosure

I agree to use electronic records and signatures

Date Signed

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Confirm e-Signature

Review Electronic Records and Signatures Policy (required)

Read our Electronic Record and Signature Disclosure

I agree to use electronic records and signatures

Date Signed

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Website Accessibility Policy

Carbon Valley Parks and Recreation District is fully committed to providing accessible facilities, elements and channels of communication to all members of the public. As part of this commitment, Carbon Valley Parks and Recreation District has a policy of providing an accessible website compatible with the Web Content Accessibility Guidelines (WCAG 2.1) and commercial screen reading software. All features of the website are coded to allow individuals with vision and other impairments to understand and use the website to the same degree as someone without disabilities. We welcome feedback and can often resolve issues in a timely manner if they arise.

If you need any special assistance or accommodations:

Call us at 303-833-3660

Ongoing Compliance Information

Compliance Officer

Carbon Valley Parks and Recreation District has designated a compliance officer for website disability-related accommodations. The compliance officer has received training in website accessibility and updates the site in accordance with those best practices. Contact our accessibility officer to report an issue.

Compliance Procedures and Reports

In addition to testing with users with a wide range of disabilities and coding our website to WCAG standards, Carbon Valley Parks and Recreation District regularly scans its website to ensure ongoing compliance, and makes timely changes to any inaccessible changes, if any are found.

Linked Documents and Third Parties

Please note that this site may link out to third-party websites, such as state or federal agencies, that do not have accessible content. This site may also include documents provided by third parties included in our agenda packets, for example. While we cannot control the accessibility of content provided by third parties, we are happy to assist any member of the public with reading and accessing content on our site.

See an opportunity for us to improve? Please contact our accessibility officer or call us at 303-833-3660.

Report a Website Accessibility Issue

We are committed to your ability to access all content, and we will respond to all requests as soon as possible.