CARBONDALE CLAY CENTER SCHOLARSHIP APPLICATION

Carbondale Clay Center (CCC) offers full and partial tuition scholarships to adults and children of our community and beyond. A limited number of scholarships are available per program, and are awarded on a first come, first served basis at CCC's discretion. Applicants cannot owe any money to CCC at time of submission. If a scholarship recipient must cancel registration, the scholarship amount is non-transferable without an additional scholarship application for the transferee. Please notify CCC as soon as possible (at least a week prior) if you must resign your application or registration.

Please fill out this pdf and email a copy to programs@carbondaleclay.org with "Your name_CCC Scholarship Application" in the subject line. If you are unable to email, please print and mail, or bring a physical copy to:

Carbondale Clay Center

135 Main St.

Carbondale, CO 81623

CCC will be in touch within 7 business days of receiving your application with more information or questions.
Section I. Application Information:
1. Are you applying for a scholarship for yourself or another person?

MyselfAnother person
2. If applying for another person, please fill out the below contact information for yourself and the contact information for the scholarship applicant in Section II. If you are applying for yourself, please continue to Section II.
Name

First NameLast Name
Email
example@example.com
Phone Number
Address

Address

Street Address Line 2

CityState/District

Zip Code
Pronouns
3. What is your relationship to the scholarship recipient?

N/A - I am applying for myselfParent/guardianOther
Section II. Applicant/Recipient Contact Information:
Name

First NameLast Name
Email
example@example.com
Phone Number
Address

Address

Street Address Line 2

CityState/District

Zip Code
Pronouns
Age, grade, and school (if under 18):
a. Age
b. Grade
c. School
Please fill out parent/guardian information below if you are under 18 and filling out the application for yourself
Parent/Guardian Name (if under 18)

(p/g) First Name(p/g) Last Name
Parent/Guardian Email (if under 18)
example@example.com
Parent/Guardian Phone (if under 18)
Parent/Guardian Address (if under 18)

(p/g) Address

Street Address Line 2

(p/g) City(p/g) State/District

(p/g) Zip Code
Section III. Class / Program Information:
1. For which program or class are you applying for a scholarship (Maker membership, shelf-renter, adult session class, kids after-school class, kids spring/summer camp, private lesson, one-off workshop, etc? Please include specific title & dates.
I am requesting a:

Full scholarshipPartial scholarship
3. If a full scholarship is not available, I will accept a partial scholarship:

YesNoDepends on the amount available for a partial scholarship
4. If a partial scholarship is available for this class/program, I am able to cover the following cost:
5. Please include a statement of financial need or why you would benefit from a full/partial scholarship. Be only as specific as you are comfortable with - we do not require proof of annual income or supplemental financial documents, but do ask that you don't take advantage of scholarship funds if you are able to afford our programs in full.
Is there anything else you would like us to know/consider about you or your application?
You have reached the end of this application!

Please fill out this pdf and email a copy to programs@carbondaleclay.org with "Your name_CCC Scholarship Application" in the subject line. If you are unable to email, please print and mail, or bring a physical copy to:

Carbondale Clay Center

135 Main St.

Carbondale, CO 81623

CCC will be in touch within 7 business days of receiving your application with more information or questions.
Should be Empty:

Section I. Application Information:

Section II. Applicant/Recipient Contact Information:

Please fill out parent/guardian information below if you are under 18 and filling out the application for yourself

Section III. Class / Program Information: