3358a Coffey Lane, Santa Rosa, CA 95403   |   707-573-1608

Scholarship Application Form

Welcome to the Vertex Scholarship Program Application!

At Vertex, we are committed to making climbing accessible to everyone in our community. This form is for those who wish to apply for our scholarship program, which offers a base membership rate of $60 per month.

If this rate is still beyond your reach, we invite you to participate in our “Pay What You Can” model. By completing this form, you can indicate what you can afford to pay monthly, allowing us to consider your individual circumstances.

Important Note:
Please understand that we can only accept a limited number of applicants. The more you are able to contribute, the more individuals we can welcome into our climbing community. Your support helps us ensure that everyone has the opportunity to climb!

How Your Application Will Be Handled:

  1. Confidential Review: All applications will be reviewed confidentially by our team. We understand the importance of privacy, and your information will be treated with the utmost respect.
  2. Personalized Response: After reviewing your application, we will reach out to you via the email you provide to discuss the outcome and any potential options available to you.
  3. Support and Community: Regardless of the decision, we want to ensure that you feel supported. We encourage you to reach out with any questions or additional information you would like to share.

Thank you for your interest in the Vertex Scholarship Program! Together, let’s make climbing a reality for everyone.

Name
How much can you afford to pay per month? (Please enter a specific amount, or state "0" if you cannot pay anything at this time.)
Please briefly explain why you are applying for the scholarship and how this membership would benefit you.
Acknowledgement
By submitting this form, you acknowledge that this information will be reviewed and kept confidential. You also understand that the final decision will be communicated to you via email.