The Karen McNeill Scholarship Application Form

Criteria for Application
The applicant must be a Chick who:

  • Is 18 years or older.
  • Is adventurous.
  • Values the experience of spending time with women.
  • Is a first-time Chicks with Picks participant, all climbing abilities welcome.
  • Is in financial need of a scholarship.
  • Will fill out a post-clinic questionnaire that may be used as a testimony on the Chicks with Picks website.
  • Two letters of recommendation must arrive WITH the application.

PLEASE FILL OUT THE FORM BELOW

SCHOLARSHIP APPLICANT INFORMATION :
Name:   Email:
Address 1:   Age:
Address 2:      
City:
State:   Zip:
         
Home Phone:
Cell Phone:
Job Description: (current)
Fitness Level:
         
Which clinic are you applying for:
The Sampler in Ouray, Colorado
The Teaser in North Conway, New Hampshire

REFERENCES:

Two letters of recommendation must arrive WITH the application. Please attach these two written references/recommendations with your application to info@chickswithpicks.net
at the time you submit this form.

Reference:   Relationship to applicant:
Home Phone:   Cell Phone:
Email:   Recommendation:
         
         
Reference:   Relationship to applicant:
Home Phone:   Cell Phone:
Email:   Recommendation:
         

PLEASE ANSWER THE FOLLOWING QUESTIONS:  (please elaborate - approx. 100-500 words/question)

  1. Why are you drawn to Chicks with Picks?
  2. Describe an outdoor experience that had an impact on you.
  3. Tell us how you have reached out to others in a positive way.
  4. Describe why you are the woman who should receive this support.
  5. What do you hope to take away from the Chicks with Picks experience?

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