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CDA Financial Assistance Application
Financial Assistance Request
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First Name
Last Name
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Is the participant employed?

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Please enter the yearly income for your household
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Please Select all that apply.

First Name
Last Name

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Select "Not Applicable" if you are the participant
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Select "Not Applicable" if you are the Participant
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Please Select all that apply.
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Colorado Discover Ability (CDA) is a non-profit organization and has limits on funding available for financial assistance. We strongly encourage participants to pay as much as they are able so that assistance will be available to others throughout the year. Our financial assistance is now provided on a sliding scale based on income. Because we have received some grant money allocated specifically for this purpose, our funders have requested that we collect the following information from you. All of the information requested is for CDA use only and will remain confidential, unless required to be reported as part of the grant. Please tell us how this assistance will help you achieve your goals.
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We occasionally ask our recipients to write letters of support about our organization, which we use in our grant reports, marketing materials, or donation solicitations. (You can determine whether or not we use your name) Would you be willing to write a letter of support?