Tuition Assistance Application (DRAFT)

Tuition Assistance Application

Arts for All at Follow Your Art Community Studios, 2023
Filling out this form will help us better understand how to support you in accessing programs at Follow Your Art Community Studios.

The financial amount of tuition assistance we are able to offer varies depending on donations, grants, and the number of requests we receive. Every session, we make every effort within our resources to work with each applicant’s needs.

Thank you for taking the time to share your information with us.

Types of tuition assitance:
- FYACS offers partial tuition reductions for classes, workshops, vacation programs, and summer programs.
- FYACS offers payment plans on tuition.
Number of scholarships:
- A scholarship is tuition assistance for one individual to participate in one program.
- Individuals are eligible for up to 4 scholarships per calendar year.
- Families are eligible for up to 6 total scholarships per calendar year.
Applicant Information

Information of the person applying for tuition assistance.
Applicant Name*

First Name Last Name
Date of Birth*

MonthDay Year
Date
Email*
example@example.com
Address*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Preferred mode of communication (check all that apply)

EmailPhone
Applicant Relationship to Student*

SelfParentLegal guardianOther relativeGroup home contactOther
Student Information

Information on the student(s) hoping to participate in FYACS programming.
What program session are you applying for tuition assitance?*

Winter 1February Vacation WeekWinter 2SpringApril Vacation WeekSummerFall 1Fall 2Workshop
How many scholarships are you applying for during this session? *
A scholarship is tuition assistance for one individual. Individual applicants (those applying for programming for themselves) are eligible for up to 4 scholarships per calendar year. Families are eligible for up to a total of 6 scholarships per calendar year.
Name of student 1 *
Age of student 1*
Interests of student 1 (check all that apply)*

CeramicsDrawingPaintingDigital ArtWritingTheatre / PerformanceArt ClubSculpture
Availability of student 1 (check all that apply)*

Monday morningMonday afternoonMonday eveningTuesday morningTuesday afternoonTuesday eveningWednesday morningWednesday afternoonWednesday eveningThursday morningThursday afternoonThursday eveningSunday evening
Specific class(es) the student is hoping to participate in
Please see available offerings at fyamelrose.org and cross-check your calendar to see what works for you. Listing specific class interests will help speed up the application process.
Name of student 2*
Age of student 2*
Interests of student 2 (check all that apply)*

CeramicsDrawingPaintingDigital ArtWritingTheatre / PerformanceArt ClubSculpture
Availability of student 2 (check all that apply)*

Monday morningMonday afternoonMonday eveningTuesday morningTuesday afternoonTuesday eveningWednesday morningWednesday afternoonWednesday eveningThursday morningThursday afternoonThursday eveningSunday evening
Specific class(es) student 2 is hoping to participate in
Please see available offerings at fyamelrose.org and cross-check your calendar to see what works for you. Listing specific class interests will help speed up the application process.
Name of student 3*
Age of student 3*
Interests of student 3 (check all that apply)*

CeramicsDrawingPaintingDigital ArtWritingTheatre / PerformanceArt ClubSculpture
Availability of student 3 (check all that apply)*

Monday morningMonday afternoonMonday eveningTuesday morningTuesday afternoonTuesday eveningWednesday morningWednesday afternoonWednesday eveningThursday morningThursday afternoonThursday eveningSunday evening
Specific class(es) student 3 is hoping to participate in
Please see available offerings at fyamelrose.org and cross-check your calendar to see what works for you. Listing specific class interests will help speed up the application process.
Name of student 4*
Age of student 4*
Interests of student 4 (check all that apply)*

CeramicsDrawingPaintingDigital ArtWritingTheatre / PerformanceArt ClubSculpture
Availability of student 4 (check all that apply)*

Monday morningMonday afternoonMonday eveningTuesday morningTuesday afternoonTuesday eveningWednesday morningWednesday afternoonWednesday eveningThursday morningThursday afternoonThursday eveningSunday evening
Specific class(es) student 4 is hoping to participate in
Please see available offerings at fyamelrose.org and cross-check your calendar to see what works for you. Listing specific class interests will help speed up the application process.
Financial Need
Please share the following information to help assess your level of need.

Follow Your Art Community Studios is pleased to be participating in the Massachusetts Cultural Council Card to Culture program, by extending discounts to EBT, WIC, and ConnectorCare health plan insurance cardholders.

Tuition assistance is also be available to those who do not carry EBT, WIC, or ConnectorCare health plan insurance cards.
Check if you have one or more of the following Massachusetts-issued Cards (check all that apply)*

EBT (Electronic Benefits Transfer) CardWIC (Women Infants and Children) CardConnectorCare Health Plan Insurance Card (AllWays Health Partners, Fallon Health, Health New England, Tufts Health Plan, and WellSense Health Plan, formerly BMC HealthNet Plan)I do not have any of the above Massachusetts-issued cards
Average yearly gross income (optional)
How much tuition assistance / what type of assistance are you looking for? (check all that apply)*

1-10% assistance11-25% assistance26-50% assistance51-75% assistance76-85% assistancePayment PlansI'm not sureOther
Please describe your financial needs (if comfortable)
The amount of tuition assistance we are able to offer varies depending on donations, grants, and the number of requests we receive. Every session, we make every effort within our resources to work with each applicant’s needs.
Adaptive Assistance

Our Arts for All program makes every effort within its resources to work with each applicant’s needs to offer individualized adaptive assistance. Arts for All can offer adaptive assistance for persons with disabilities (learning, physical), persons with mental health needs, and/or persons who require translation services. This can look like making appropriate curricular and/or space accommodations or modifications, or hiring an assistant to provide individualized aid, to name a few.
Are you also looking for adaptive assistance for a student at this time?

YesNo
Which student(s) would the adaptive assistance be for? *
In order to help us identify what kinds of support we can put in place, please describe the needs, diagnoses, and types of adaptive assistance that would best serve the student(s). *
Our Arts for All Coordinator will follow up with you to discuss how to best support the student in attending programs at FYACS.
How did you find out about the Arts for All Scholarship Program?

FacebookInstagramCard to Culture Program Listing on mass.govFollow Your Art Community Studios websitePostcardMelrose Public Schools Virtual BackpackWord of mouthOther
Is there anything else you would like to share with us?
Questions?

Email: artsforall@fyamelrose.org

Phone: (781) 665 4140

Arts for All Office Hours: Tuesdays & Fridays 9-12PM
Should be Empty:

Tuition Assistance Application

Applicant Information

Student Information

Financial Need

Adaptive Assistance