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ARTSPACE Art Classes Scholarship Application
Personal Data
Primary Parent/Guardian Name
*
First Name
Last Name
Email
*
Verify Email
*
Phone
*
Do not include parentheses, dashes, or other extra characters
Mailing Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Add Second Parent/Guardian Name
First Name
Last Name
Email #2
Verify Email
Phone #2
Do not include parentheses, dashes, or other extra characters
Student Name
*
First Name
Last Name
Student Preferred Name
Preferred Pronouns
Student Birthdate
*
(mm/dd/yyyy)
Financial Situation
Scholarships are largely awarded based on financial need. Your privacy will be respected.
The scholarship I am seeking is
*
select one
a full tuition scholarship
a half tuition scholarship
Why are you seeking this scholarship?
*
Scholarships are intended to make courses more accessible to students from families experiencing financial hardship and/or students from otherwise marginalized groups. Please include any information you feel will best help us understand your need.
Have you previously received an ARTSPACE art classes scholarship? If yes, please include course name, semester, & year.
*
How did you learn about ARTSPACE art classes scholarship program?
Course Preferences
1st Class Choice
*
Please visit projectartwimberley.org/artspace/art-classes/ to view current class selection.
2nd Class Choice
*
Please visit projectartwimberley.org/artspace/art-classes/ to view current class selection.
Confirmation of accuracy
*
The information I have provided is complete and accurate.
