Jumpst(ART) Scholarship Application

Jumpst(ART) Scholarship Application
Please note that students granted scholarships must commit to attend all classes and that more than one absence (except in the case of illness) will result in dismissal from the program.
Student Name

First NameLast Name
Birthdate

MonthDayYear
Date
Parent/Caregiver Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Which program are you enquiring about?
Why are you interested in taking this class? If you are a parent filling out this form, ask for input from your student.
Why are you requesting financial aid?
What level of support would enable you to attend Jumpst(ART)?
Should be Empty: