ARTopia Scholarship Application Form

ARTopia Days Scholarship Application Form

Art Exploration on Teacher In-Service Days
Personal Data

Tell us about yourself and the student you are requesting a scholarship for.
Student's Full Name*

First NameLast Name
Student's Age
School Student Currently Attends
Students current grade
Parent or Legal Guardian's Full Name*

First NameLast Name
Mobile No*
Please provide the best number to reach during the Out of School: Art School DaysFormat: (000) 000-0000.
Email *
Where scholarship correspondence can be sent.
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Optional Informations

Information regarding gender, ethnic origin, race and social ecomomic status are optional. The information is requested for post-scholarship report generation only and in no way affects your selection for scholarship awards. However, providing this information may increase your opportunities for scholarships where donors have asked that priority consideration be given to students meeting certain demographic criteria.
MaleFemaleI would rather not say
American Indian or Alaska NativeAsianBlack or African AmericanHispanic or LatinoNative Hawaiian or Other Pacific IslanderWhiteI would rather not say
Above $70,000Between 50,000 and 70,000Between 50,000-30,000Between 30,000-15,000Under 15,000I would rather not say
YesNoI would rather not say
What would receiving an ARTopia Days Scholarship mean for your student and your family?*

0/300
All DatesOctober 3January 16February 13March 6April 3April 24May 22
Is there anything else that you would like to share?
Applicant's E-Signature
By signing the space below, you are certifying that all information is correct to the best of your knowledge and ability and that you are the person completing this application. Once the form has been filled out, signed and submitted please allow 10 business days to receive information about the status of your scholarship application.
Signature
ACME School committed to equal opportunity in employment and education. The College does not discriminate in any program or activity on the basis of race, color, religion, gender, age, national origin, disability, marital status, or any other protected class.
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ARTopia Days Scholarship Application Form

Personal Data

Applicant's E-Signature