Individual Scholarship Application

A limited number of scholarships are available to individuals interested in attending educational activities at the Columbus Zoo and Aquarium. Scholarships are awarded to fund need-based individuals who would otherwise be unable to attend these activities. Please note the following:

Scholarship funds do not include transportation assistance.
One scholarship per person may be awarded annually. If applying for multiple individuals, submit one form per person.
Applications must be submitted at least three weeks before the activity begins. Registration is based upon availability; approval does not guarantee a spot in the requested activity.

Please allow two (2) weeks to receive notification of you approval status.

Scholarship Information

Scholarship Requested

Melvin B. Dodge Scholarship (Franklin & Delaware Counties)

Columbus Zoo Education Scholarship (counties other than Franklin or Delaware)

Camp Topic and Camp Date Requested

Precent of Assistance Requested

Max 90%

Participant Information

Participant Name

Date of Birth

Street Address

County

City

State

Zip Code

Email Address

Primary Phone Number

Alternative Phone Number

Shirt Size

Ethnic Origin

African American

Asian American

Caucasian

Hispanic/Latino

Native American

Biracial/Multiracial (or two or more races)

Other

* for Health & Human Services reporting, in compliance with the Title 6 of the Civil Rights Act of 1964

Parent/Guardian Information

Parent/Guardian's Name

Is Parent/Guardian's Address Different From Participant

Yes

No

Street Address

County

City

State

Zip Code

Primary Phone Number

Alternative Phone Number

Eligibility Information

Eligibility

(please check all that apply):

Student is eligible for free or reduced-cost school lunch

Student is eligible to receive public assistance (food stamps, subsidized housing, etc)

Parent(s) or legal guardian(s) is eligible to receive public assistance

Student is not eligible for the free or reduced lunch program but would like consideration for a scholarship

Please provide a brief explanation of the financial circumstances leading you to apply for this scholarship