SHOLARSHIP APPLICATION Waipā Scholarship Application First Name* Last Name* Email* Phone* Organization / School Name* Age of Group / Grade Dates requested* Number of visitors* Requested learning site or activities* A sentence or two explaining how a trip to Waipa will benefit your group.* A sentence or two explaining your need to apply for the Scholarship Program.* Please Select an Option Below* My group is not able to pay the full price My group is not able to pay the full price but can contribute How much can your group contribute Per Person? - Any amount is appreciated!* Submit Application Reset