Evan Burleigh Memorial Scholarship application

Thanks to the generous philanthropy of individual donors and the Burleigh family, SCT is able to provide limited financial assistance to help offset team dues, gym membership, and/or competition costs.

If you are interested in receiving aid, please complete the application form below.

More Information on Evan’s life and the impetus behind the scholarship can be found here.

name

First Name

Last Name

parent / guardian

First Name

Last Name

email

phone

(###)

###

####

address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

date of birth

MM

DD

YYYY

grade in school (#)

household size (#)

annual household income

Tell us about yourself: family life, hobbies, interests, etc.

climbing experience

Are you an active USAC competitor, or interested in becoming one?

no

yes

unsure

How will this scholarship help you financially?

If you have previous climbing experience, please describe why the sport is important to you.

If not, how did you become interested?