Camps and Classes Scholarship Application

Camps and Classes Scholarship Application

Limited scholarships are available for all fee-based classes, camps, and workshops. Applications are accepted on a continuous basis and decisions to award scholarships are made by the Scholarship Committee within one month of submittal.
Which class are you applying for? Please give class name and dates.*
Participant Information:
Full Name:*
Age if under 18
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
If participant is under 18 years of age, please include the following parent/guardian information:
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Please indicate your annual household income range:*

$20,000–$39,999$60,000–$79,999$40,000–$59,999$80,000+
Signature*

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Date*

MonthDayYear
If you have any questions, please email ccarlson@jmkac.org or call (920) 694-4697.
It is the policy of the John Michael Kohler Arts Center not to discriminate against any applicant because of age, race, religion, gender, physical condition, sexual orientation, or national origin.
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