Arts and Sciences Award Program Application 2026

Arts and Sciences Award Program 2026

❗ Application closes on February 16th, 2026❗
Please note that we will not accept any applications after February 16th under any circumstances.

View Guidelines

Guías

About Your Child
Your Child's First Name*
First Name
MI
Your Child's Last Name*
Last Name
Your Child's Date of Birth*
Your Child's Current Grade*
Your child must be in grades 1 through 12 at the time you apply.
Today's Date

MonthDayYear
Date
Child's age
Your child's gender*
Parent/Legal Guardian Name*

First NameMiddle InitialLast Name
Your relationship to the child*

FatherMotherLegal Guardian
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Who should we talk to if we need to send a follow-up email?*
Main Contact Email Address*

Confirmation EmailPlease enter a valid email address for your main contact.
Phone Number*
Please enter a valid phone number.

Information About the Arts or Sciences Program Your Child Wants to Attend
Name of Program*
A program must be organized - that means it is held by a specific organization like a YMCA or a nature center - or by someone offering private lessons in music or voice. Applications are not accepted for programs that offer academic credit, travel or study abroad, recreational summer camps, sports camps or team sports.
How long is the program?*
In one sentence, describe the program.*
Total Cost of the Program*
What is the total cost of the program?
Family Contribution*
How much will YOU pay?
Award Request*
How much you are asking AG Bell to award?
Will your child require special accommodations to participate in the program?*

YesNo
Please briefly explain:*
Please send us a copy of the program brochure or flyer. Make sure it shows the cost of the program. If your child takes private lessons, please give us a letter from the teacher. The letter should tell us about what the lessons include, when they happen, and how much they cost.*

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Essay Questions for Child and Parent/Guardian
We would like to know why your child wants to join this program. If your child is in first or second grade, they can record their answer, or you can write it down for them. Older kids should write or record their own answer.*

Type answerRecord answer
Type your answer here:
Record your answer here:
Please tell us why you chose this program for your child. What do you think your child will learn or how do you think they will benefit from it?*

Type answerRecord answer
Type your answer here:
Record your answer here:

Application Attachments and Recommendations

Please get in touch with your child's audiologist and the two people writing recommendation letters. Upload the documents here as separate PDFs. Important: You cannot submit the application until the audiogram and recommendation letters are uploaded.
Audiogram
- Your child must have bilateral (two-sided) moderately severe or greater hearing loss to be eligible.
- If your child uses hearing aids, we need an unaided audiogram performed within the last 12 months.
- If your child uses cochlear implants, we need the most recent programming report or audiogram.
Name of Audiologist *

First NameLast Name
Email of Audiologist*
Email Address
Upload audiogram here:*

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Letter of Recommendation from a Professional

You will need one letter of recommendation from a professional who knows your child. This could be a therapist, teacher, or hearing health professional, like a speech-language therapist or a listening and spoken language specialist (LSLS).
Name of the professional*

First NameLast Name
Email of Non-Relative Recommender*
Upload recommendation here:*

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Letters of Recommendation from a Teacher or Non-Family member

You will need one letter of recommendation from a teacher or a non-family member who knows the child well and can describe the benefits of the selected program for your child.
Name of Recommender*

First NameLast Name
Email of Recommender*
Upload recommendation here:*

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Permission for Contact
AG Bell may want to contact your family to learn about your child's progress. We may also want to write a story about your child or your family. Sometimes, we may ask for your help in supporting school and health policies where you live.

Note: If AG Bell contacts you about being part of a media story, you can choose not to participate.
Please indicate your preferences:

Yes, I do want an AG Bell staff member to contact me.No, I do not want an AG Bell staff member to contact me.
Agreement
I confirm I am the parent/legal guardian for the child above. As far as I know, this application is accurate and truthful. I agree AG Bell may write about my child's award. AG Bell will not use any personal information about my child.
Parent/Legal Guardian Signature*

Clear
Date

MonthDayYear
Date
Payment Method Notice

This year, all financial aid awards will be distributed via ACH (direct deposit) rather than paper checks. If awarded, you will be required to set up a secure vendor account through BILL.com, where you will enter your banking information. This process provides a faster and more reliable payment experience than mailed checks.

Please note that the parent or guardian receiving the funds must remain the primary point of contact each year you apply, as your banking information will be linked to your individual vendor profile.
NOTICE

If you live in the United States or its territories and are chosen to receive an award, the money may be taxed. The award could impact your ability to qualify for Supplemental Security Income (SSI). To find out if you need to pay taxes, we suggest talking to your accountant, tax lawyer, or tax preparer.

If you live in the US or its territories and are selected for an award, the government requires us to collect a tax ID or social security number before we can send the check.

We need this information for all awards of $600 or more, as required by the government. AG Bell will keep this information private and will only use it to file a tax form. The review committee will not see this page of your application.
Parent/Guardian Name*

Must match the name on page oneMust match the name on page one
Parent/Guardian Mailing Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Tax ID or Social Security Number for Parent/Guardian*
Tax ID / Social Security Number
IMPORTANT NOTE

If you live in the United States and cannot provide a social security or tax ID number, you will not be able to receive an award. This is a rule from the United States government, and we cannot make any exceptions.

Arts and Sciences Award Program 2026

View Guidelines

Guías

About Your Child

Your Child's Hearing Health Information

About Our Family

Information About the Arts or Sciences Program Your Child Wants to Attend

Essay Questions for Child and Parent/Guardian

Application Attachments and Recommendations

Audiogram

Letter of Recommendation from a Professional

Letters of Recommendation from a Teacher or Non-Family member

Permission for Contact

Agreement

Demographic Information