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.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Which program are you enquiring about?*

Spring/Summer Elementary IntensiveFall/Winter After-school Elementary WorkshopSpring/Summer Secondary Intensive
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)?

1/4 of tuition1/2 of tuition3/4 of tuition
Should be Empty: