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Art Education Request for Scholarship Form

Eligibility for scholarships is on a first come basis, with each applicant currently receiving funding once per year. Upon the case that funding has been fulfilled, applicants roll into the next quarter with first consideration.

Today's Date *

First Name of Student *

Last Name of Student *

Full name of parent/guardian (if applicable):

Best Phone Number to Reach You: *

Email Address *

Mailing Address (Street): *

City *

State *

Zip *

Are you requesting a full scholarship or a partial scholarship? (Choose one) *

Full Scholarship

Partial Scholarship

If you selected "partial scholarship," how much are you able to pay?

Which quarter are you requesting a scholarship for? *

Winter

Spring

Summer

Fall

Age of student: *

Which class are you requesting a scholarship for? *

Have you ever received a scholarship from us before? *

Yes

No

If yes, when and for which class/workshop did you receive a scholarship?

Are you a Member of the museum? *

Yes

No

Thank you for applying. The museum will be in touch with you shortly.